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General NPI Number Information
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NPI Number | 1285148205
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Entity Type | Organization
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Legal Business Name | COLORS OF AUSTIN COUNSELING
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 5800 BERKMAN DR
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City | AUSTIN
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State | TX
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Zip | 78723-2625
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Country | US
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Telephone | 512-829-8738
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 BERKMAN DR
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City | AUSTIN
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State | TX
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Zip | 78723-2625
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Country | US
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Telephone | 713-553-6250
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST, OWNER
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Name | VANESSA MARIE FLORES
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Credential | LCSW
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Telephone | 512-387-4221
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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 | 52990
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License Number State | TX
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