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General NPI Number Information
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NPI Number | 1407435407
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Entity Type | Organization
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Legal Business Name | THE SERRATA COUNSELING GROUP, PLLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 5700 N EXPRESSWAY 77/83 STE 309
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4355
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Country | US
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Telephone | 956-801-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 N EXPRESSWAY 77/83 STE 309
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4355
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Country | US
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Telephone | 956-801-2008
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. CYNTHIA ANN SERRATA
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Credential | PHD
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Telephone | 956-801-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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