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General NPI Number Information
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NPI Number | 1376011338
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Entity Type | Organization
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Legal Business Name | HEALTHY MINDSETS THERAPY, PLLC
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 2302 W STAN SCHLUETER LOOP
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City | KILLEEN
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State | TX
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Zip | 76549-3664
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Country | US
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Telephone | 912-424-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 OZARK DR
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City | KILLEEN
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State | TX
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Zip | 76549-6645
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Country | US
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Telephone | 912-424-2910
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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 | BRANDON WATERS
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Credential | LPC
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Telephone | 912-424-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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