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General NPI Number Information
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NPI Number | 1144720889
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Entity Type | Organization
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Legal Business Name | HOUSTON PSYCHOTHERAPY CONSULTANTS, PLLC
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 2616 S LOOP W STE 465
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City | HOUSTON
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State | TX
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Zip | 77054-2646
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Country | US
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Telephone | 832-203-5987
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Fax | 823-203-4086
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Provider Business Mailing Address
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Address Line | 2616 S LOOP W STE 465
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City | HOUSTON
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State | TX
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Zip | 77054-2646
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Country | US
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Telephone | 832-203-5987
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Fax | 823-203-4086
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA DENISE PENA
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Credential | LCDC, LPC-S, NCC
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Telephone | 832-203-5987
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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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 | 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 #4
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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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