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General NPI Number Information
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NPI Number | 1144188145
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Entity Type | Organization
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Legal Business Name | SENCERE WELLNESS LLC
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 6633 JOHN HICKMAN PKWY APT 2008
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City | FRISCO
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State | TX
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Zip | 75034-9767
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Country | US
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Telephone | 833-203-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 6633 JOHN HICKMAN PKWY APT 2008
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City | FRISCO
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State | TX
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Zip | 75034-9767
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Country | US
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Telephone | 833-203-1300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMAL VANCE
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Credential |
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Telephone | 323-801-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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