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General NPI Number Information
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NPI Number | 1396329868
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Entity Type | Organization
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Legal Business Name | CYPRESS COUNSELING & WELLNESS,, LLC
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 16693 HUFFMEISTER RD STE 100
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 832-767-9688
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Fax | 281-617-4948
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Provider Business Mailing Address
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Address Line | 16693 HUFFMEISTER RD STE 100
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 832-767-9688
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Fax | 281-617-4948
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Authorized Official
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Title or Position | DIRECTOR
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Name | JASIE BOYD
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Credential | LCSW-S, LCDC
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Telephone | 281-915-3522
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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 |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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