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General NPI Number Information
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NPI Number | 1326579251
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Entity Type | Organization
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Legal Business Name | TLG THE LAHAYE GROUP LLC
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 17300 HENDERSON PASS SUITE 260
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1663
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Country | US
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Telephone | 210-908-7573
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Fax | 210-807-8789
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Provider Business Mailing Address
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Address Line | 17300 HENDERSON PASS STE 260
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1568
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Country | US
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Telephone | 210-908-7573
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DR. RICHARD PALMER LAHAYE
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Credential | PHD
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Telephone | 210-908-7573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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