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General NPI Number Information
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NPI Number | 1386356079
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Entity Type | Organization
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Legal Business Name | TLE COUNSELING
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 8008 SLIDE RD STE 14
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City | LUBBOCK
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State | TX
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Zip | 79424-2828
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Country | US
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Telephone | 806-789-6373
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Fax |
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Provider Business Mailing Address
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Address Line | 3632 60TH ST
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City | LUBBOCK
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State | TX
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Zip | 79413-5302
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Country | US
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Telephone | 806-789-6373
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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 | TAMMY LYNN EDMONSON
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Credential | LPC
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Telephone | 806-789-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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