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General NPI Number Information
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NPI Number | 1124919238
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Entity Type | Individual
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Provider Name | HALEY SMITH M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2411 NE LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6644
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Country | US
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Telephone | 210-868-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 505 LANTANA RDG
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City | SPRING BRANCH
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State | TX
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Zip | 78070-5767
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Country | US
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Telephone | 210-452-1575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 99335
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License Number State | TX
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