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General NPI Number Information
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NPI Number | 1437035250
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Entity Type | Individual
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Provider Name | KATRINA TIE
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 18103 CANYON CYPRESS LN
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City | KATY
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State | TX
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Zip | 77449-7588
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Country | US
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Telephone | 281-944-5008
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Fax |
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Provider Business Mailing Address
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Address Line | 12320 BARKER CYPRESS RD STE 600
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City | CYPRESS
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State | TX
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Zip | 77429-8329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 100028
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2026003674
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License Number State | MO
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