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General NPI Number Information
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NPI Number | 1376053793
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Entity Type | Organization
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Legal Business Name | CAROL S MIERS MARRIAGE AND FAMILY THERAPY PLLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1110 NASA PKWY STE 545T
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City | HOUSTON
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State | TX
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Zip | 77058-3358
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Country | US
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Telephone | 504-722-7046
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Fax |
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Provider Business Mailing Address
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Address Line | 508 FOREST VILLAGE CIR
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City | LA MARQUE
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State | TX
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Zip | 77568-1504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHAWNA APPLE
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Credential |
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Telephone | 480-225-8588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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