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NPI 1144191503

NPI 1144191503 : ANEW THERAPY, PLLC : ALLEN, TX

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General NPI Number Information
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    NPI Number           |    1144191503
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANEW THERAPY, PLLC 
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Dates
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    Enumeration Date     |    09/17/2025
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    550 S WATTERS RD STE 140 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-5225
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    Country              |    US
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    Telephone            |    972-627-4737
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    550 S WATTERS RD STE 140 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-5225
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     SUMMER  DAVIS 
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    Credential           |    LPC
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    Telephone            |    214-564-9310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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