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General NPI Number Information
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NPI Number | 1427561810
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Entity Type | Organization
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Legal Business Name | ASE BEHAVIORAL HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1902 TEXAS PKWY UNIT 1282
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City | MISSOURI CITY
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State | TX
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Zip | 77459-7862
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Country | US
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Telephone | 713-714-3800
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Fax | 844-707-2493
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Provider Business Mailing Address
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Address Line | PO BOX 1282
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1282
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Country | US
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Telephone | 713-714-3800
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Fax | 844-707-2493
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. TONYA MONIQUE PEAVY
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Credential | PSYD, LPC-S
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Telephone | 713-714-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 2084B0002X
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Taxonomy Name | Obesity Medicine (Psychiatry & Neurology) Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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Taxonomy #4
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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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Taxonomy #5
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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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