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General NPI Number Information
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NPI Number | 1235794603
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Entity Type | Organization
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Legal Business Name | AUTHENTIC HEALING AND COUNSELING
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 7660 WOODWAY DR STE 385
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City | HOUSTON
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State | TX
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Zip | 77063-1528
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Country | US
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Telephone | 713-376-9500
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Fax | 713-391-8421
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Provider Business Mailing Address
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Address Line | 7660 WOODWAY DR STE 385
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City | HOUSTON
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State | TX
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Zip | 77063-1528
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Country | US
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Telephone | 713-376-9500
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Fax | 713-391-8421
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | GINA MARIE BAIAMONTE
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Credential | MS, LPC
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Telephone | 713-376-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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