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General NPI Number Information
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NPI Number | 1295318053
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Entity Type | Organization
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Legal Business Name | STANDING TALL CONSULTING LLC
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 9898 BISSONNET ST STE 400C
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 346-223-2917
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Fax |
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Provider Business Mailing Address
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Address Line | 6425 BANKSIDE DR APT 1074
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City | HOUSTON
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State | TX
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Zip | 77096-5647
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Country | US
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Telephone | 281-960-6993
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. PENNY THELMA YOUNG
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Credential | LCDC/ C.A.R.T
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Telephone | 281-960-6993
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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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Taxonomy #2
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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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