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General NPI Number Information
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NPI Number | 1386154086
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Entity Type | Organization
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Legal Business Name | FAMILY LIFE COUNSELING, LLC
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Dates
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Enumeration Date | 10/07/2017
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4606 CENTERVIEW STE 185
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1230
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Country | US
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Telephone | 210-675-0066
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Fax | 210-618-0324
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Provider Business Mailing Address
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Address Line | 225 MARY LOUISE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78201-4422
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Country | US
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Telephone | 210-544-3719
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Fax |
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Authorized Official
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Title or Position | LCSW AND OWNER
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Name | MS. LAURA AVINA
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Credential | LCSW
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Telephone | 210-544-3719
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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 | 18902
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License Number State | TX
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Taxonomy #2
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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 |
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