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General NPI Number Information
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NPI Number | 1326893652
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Entity Type | Organization
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Legal Business Name | THE MERISMOS CENTER, PLLC
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 388 EXCHANGE BLVD UNIT 1285
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City | HUTTO
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State | TX
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Zip | 78634-8054
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Country | US
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Telephone | 866-475-1546
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Fax |
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Provider Business Mailing Address
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Address Line | 388 EXCHANGE BLVD UNIT 1285
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City | HUTTO
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State | TX
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Zip | 78634-8054
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Country | US
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Telephone | 866-475-1546
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | IRIS HACKETT
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Credential | LPC-S
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Telephone | 866-475-1546
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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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