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General NPI Number Information
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NPI Number | 1275377806
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION HOUSE
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Dates
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Enumeration Date | 06/19/2024
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 916 E BLANCO RD STE 600
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City | BOERNE
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State | TX
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Zip | 78006-1764
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Country | US
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Telephone | 830-542-9166
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1181
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City | BOERNE
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State | TX
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Zip | 78006-1181
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Country | US
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Telephone | 210-508-1056
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LORI A HOUCK
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Credential |
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Telephone | 830-542-9166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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