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NPI 1275185423

NPI 1275185423 : OUR PSYCHE, INC : EDINBURG, TX

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General NPI Number Information
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    NPI Number           |    1275185423
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    Entity Type          |    Organization 
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    Legal Business Name  |    OUR PSYCHE, INC 
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Dates
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    Enumeration Date     |    07/09/2019
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    5311 S MCCOLL RD 
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    City                 |    EDINBURG
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    State                |    TX
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    Zip                  |    78539-9168
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    Country              |    US
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    Telephone            |    956-609-8686
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    Fax                  |    956-348-4355
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6865 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78502-6865
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    Country              |    US
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    Telephone            |    956-322-8690
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    Fax                  |    956-348-4355
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JOHANNA  TORRES-SANTIAGO 
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    Credential           |    MD
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    Telephone            |    787-674-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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