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General NPI Number Information
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NPI Number | 1164802674
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Entity Type | Organization
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Legal Business Name | LAURA WESTBROOK LLC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 109 S WOODROW LN STE 500
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City | DENTON
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State | TX
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Zip | 76205
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Country | US
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Telephone | 940-765-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 9509 OLIVE CT
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City | LANTANA
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State | TX
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Zip | 76226-1430
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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 | THERAPIST
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Name | MRS. LAURA WESTBROOK
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Credential | LPC
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Telephone | 972-670-6045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 73483
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License Number State | TX
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