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General NPI Number Information
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NPI Number | 1215269758
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Entity Type | Organization
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Legal Business Name | CLARITY COUNSELING & PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 4534 WESTGATE BLVD SUITE 112
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City | AUSTIN
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State | TX
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Zip | 78745-1485
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Country | US
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Telephone | 512-963-7407
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Fax | 512-697-8279
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Provider Business Mailing Address
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Address Line | 11 COACH HOUSE RD
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City | AUSTIN
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State | TX
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Zip | 78737-9315
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Country | US
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Telephone | 512-963-7407
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Fax | 512-697-8279
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Authorized Official
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Title or Position | OWNER
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Name | TALISA L CLEVENGER-SMITH
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Credential | LMFTA
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Telephone | 512-963-7407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201468
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License Number State | TX
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