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General NPI Number Information
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NPI Number | 1417844283
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Entity Type | Organization
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Legal Business Name | ERIN FASSNACHT LCSW, PLLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 706B W BEN WHITE BLVD # 180
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City | AUSTIN
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State | TX
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Zip | 78704-7153
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Country | US
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Telephone | 512-815-2521
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Fax |
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Provider Business Mailing Address
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Address Line | 10013 ANAHUAC TRL
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City | AUSTIN
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State | TX
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Zip | 78747-2667
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Country | US
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Telephone | 512-680-9529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN FASSNACHT
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Credential | LCSW-S
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Telephone | 512-680-9529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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