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General NPI Number Information
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NPI Number | 1285420844
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Entity Type | Organization
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Legal Business Name | BEYOND BORDERS MENTAL HEALTH CENTER, PLLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1673 E SAN BENITO ST STE A
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-3480
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Country | US
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Telephone | 956-256-1643
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Fax |
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Provider Business Mailing Address
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Address Line | 124 N OLD EL SAUZ RD
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-3902
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Country | US
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Telephone | 956-500-7997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY GONZALEZ
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Credential | LPC
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Telephone | 956-500-7997
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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