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General NPI Number Information
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NPI Number | 1194492983
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Entity Type | Organization
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Legal Business Name | RESET SPACE COUNSELING SOLUTIONS, PLLC
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 12702 TOEPPERWEIN RD STE 215
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City | LIVE OAK
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State | TX
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Zip | 78233-3250
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Country | US
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Telephone | 512-537-4065
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Fax | 512-539-2881
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Provider Business Mailing Address
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Address Line | PO BOX 34477
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City | SAN ANTONIO
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State | TX
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Zip | 78265-4477
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Country | US
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Telephone | 512-537-4065
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Fax | 512-539-2881
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. FEBE SARAI FERNANDEZ
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Credential | MA, LPC
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Telephone | 512-537-4065
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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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