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General NPI Number Information
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NPI Number | 1326726852
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Entity Type | Organization
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Legal Business Name | PRACTICE WELLNESS - COACHING AND COUNSELING LLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 24624 INTERSTATE 45 N STE 257
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City | SPRING
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State | TX
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Zip | 77386-4084
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Country | US
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Telephone | 281-698-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LEHIGH SPRINGS DR
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City | SPRING
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State | TX
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Zip | 77381-2666
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Country | US
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Telephone | 281-796-6966
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EFRAIN FRANCISCO URIBE
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Credential | PHD.
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Telephone | 281-796-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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