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General NPI Number Information
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NPI Number | 1205628286
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Entity Type | Organization
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Legal Business Name | THERAPY AUSTIN
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1213 W SLAUGHTER LN
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City | AUSTIN
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State | TX
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Zip | 78748-6900
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Country | US
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Telephone | 512-201-4501
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Fax |
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Provider Business Mailing Address
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Address Line | 10290 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4710
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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 | AMY BERLIN
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Credential | LMSW
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Telephone | 512-201-4501
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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 |
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License Number State |
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