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General NPI Number Information
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NPI Number | 1407739196
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Entity Type | Organization
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Legal Business Name | CANDID THERAPY & ASSOCIATES
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 19221 I 45 S STE 110A
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City | SHENANDOAH
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State | TX
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Zip | 77385-8756
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Country | US
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Telephone | 281-940-5467
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Fax |
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Provider Business Mailing Address
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Address Line | 18715 CREEK FALLS LN
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City | MAGNOLIA
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State | TX
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Zip | 77355-4390
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Country | US
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Telephone | 281-995-7564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY GREEN
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Credential | LPC-SUPERVISOR
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Telephone | 281-995-7564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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