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General NPI Number Information
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NPI Number | 1407416670
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Entity Type | Organization
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Legal Business Name | T BLENDEN COUNSELING & CONSULTING
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 14001 WALDEN RD STE 700
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City | MONTGOMERY
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State | TX
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Zip | 77356-5205
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Country | US
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Telephone | 254-289-7373
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Fax | 936-582-0145
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Provider Business Mailing Address
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Address Line | 14001 WALDEN RD STE 700
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City | MONTGOMERY
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State | TX
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Zip | 77356-5205
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Country | US
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Telephone | 254-289-7373
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Fax | 936-582-0145
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Authorized Official
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Title or Position | FOUNDER , CEO, OWNER
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Name | MRS. TANYA ELISE BLENDEN DEVRIES
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Credential | MS, LPC, LCDC, NCC,
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Telephone | 254-289-7373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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