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General NPI Number Information
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NPI Number | 1356251342
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Entity Type | Organization
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Legal Business Name | FREEDOM AND LOVE INNERWELLNESS PLLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 2802 FLINTROCK TRCE STE 210
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City | AUSTIN
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State | TX
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Zip | 78738-1744
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Country | US
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Telephone | 657-217-0713
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340336
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City | AUSTIN
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State | TX
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Zip | 78734-0006
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Country | US
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Telephone | 657-217-0713
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | TRACY COOPER
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Credential | LCSW
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Telephone | 657-217-0713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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