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General NPI Number Information
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NPI Number | 1336016112
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Entity Type | Organization
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Legal Business Name | ATX TRAUMA & GRIEF THERAPY
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2210 ONION CREEK PKWY UNIT 1104
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City | AUSTIN
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State | TX
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Zip | 78747-1497
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Country | US
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Telephone | 512-764-1152
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 S LAMAR BLVD STE 109D
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City | AUSTIN
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State | TX
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Zip | 78704-4785
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Country | US
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Telephone | 512-764-1152
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRITTANY L BURKE
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Credential | LPC-A
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Telephone | 737-333-9135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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