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General NPI Number Information
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NPI Number | 1407448731
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Entity Type | Organization
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Legal Business Name | ELYSIAN COUNSELING & EDUCATION LLC
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 20214 TIMBERSTONE LN
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City | SPRING
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State | TX
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Zip | 77379-8897
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Country | US
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Telephone | 832-928-5173
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Fax | 832-203-1727
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Provider Business Mailing Address
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Address Line | 20214 TIMBERSTONE LN
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City | SPRING
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State | TX
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Zip | 77379-8897
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Country | US
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Telephone | 832-928-5173
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Fax | 832-203-1727
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Authorized Official
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Title or Position | OWNER & PRINCIPAL THERAPIST
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Name | DR. DWAN MICHELE MILAM-REED
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Credential | PHD., LCSW-S
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Telephone | 832-928-5173
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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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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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