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General NPI Number Information
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NPI Number | 1144160409
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Entity Type | Organization
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Legal Business Name | LIFE IN PRAXIS PLLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 230 CONWAY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1716
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Country | US
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Telephone | 517-525-3459
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Fax |
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Provider Business Mailing Address
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Address Line | 230 CONWAY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1716
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Country | US
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Telephone | 517-525-3459
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Fax |
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Authorized Official
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Title or Position | OTD, LCDC
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Name | ALEXIS LEE MIZE
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Credential | OTD, LCDC
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Telephone | 517-525-3459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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