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General NPI Number Information
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NPI Number | 1265804025
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Entity Type | Organization
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Legal Business Name | WINDHAVEN COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 12810 HILLCREST RD SUITE B223
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-948-2612
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Fax | 972-920-3742
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Provider Business Mailing Address
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Address Line | 12810 HILLCREST RD SUITE B223
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-948-2612
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Fax | 972-920-3742
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ALISON WATROS
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Credential |
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Telephone | 972-948-2612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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