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General NPI Number Information
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NPI Number | 1164757050
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Entity Type | Organization
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Legal Business Name | SILVER LINING COUNSELING P.C.
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 2709 S LAMAR BLVD STE 112
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City | AUSTIN
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State | TX
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Zip | 78704-4757
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Country | US
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Telephone | 512-785-0055
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Fax | 512-243-6357
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Provider Business Mailing Address
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Address Line | 7631 HIGHWAY 290 W APT 722
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City | AUSTIN
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State | TX
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Zip | 78736-3620
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Country | US
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Telephone | 512-785-0055
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Fax | 512-243-6357
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. BRENDA MICHELE ESTRELLO LPC
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Credential | LPC
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Telephone | 512-785-0055
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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 | 61365
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License Number State | TX
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