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General NPI Number Information
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NPI Number | 1285408211
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Entity Type | Organization
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Legal Business Name | CONVERSATION TREE THERAPY PLLC
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 8500 N MOPAC EXPY STE 901
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City | AUSTIN
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State | TX
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Zip | 78759-8348
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Country | US
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Telephone | 737-295-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 N MOPAC EXPY STE 901
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City | AUSTIN
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State | TX
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Zip | 78759-8348
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Country | US
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Telephone | 737-295-2042
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA ROSE ACCETTULLI
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Credential | LPC, LCDC
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Telephone | 737-295-2042
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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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