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General NPI Number Information
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NPI Number | 1184421885
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Entity Type | Individual
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Provider Name | ALYSEN B HENSLEY
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Gender | Female
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2435 E SOUTHLAKE BLVD STE 140
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6679
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Country | US
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Telephone | 214-326-0263
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Fax |
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Provider Business Mailing Address
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Address Line | 4232 MARYANNE PL
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City | HALTOM CITY
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State | TX
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Zip | 76137-2646
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Country | US
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Telephone | 940-735-1632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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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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