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General NPI Number Information
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NPI Number | 1184549420
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Entity Type | Organization
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Legal Business Name | HEADWAY
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 500
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 915-944-1084
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 500
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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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 | ELMER AVALOS
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Credential | LPC-A
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Telephone | 915-504-8473
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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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