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General NPI Number Information
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NPI Number | 1427727940
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Entity Type | Organization
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Legal Business Name | THERAPY UNLIMITED
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 4423 AVENUE P 1/2
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City | GALVESTON
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State | TX
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Zip | 77550-6565
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Country | US
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Telephone | 409-392-5502
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 25TH ST
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City | GALVESTON
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State | TX
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Zip | 77550-4408
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Country | US
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Telephone | 409-392-5502
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEANNA BALL
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Credential | LPC
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Telephone | 409-392-5502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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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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Taxonomy #4
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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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