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General NPI Number Information
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NPI Number | 1447121629
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Entity Type | Individual
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Provider Name | EVELYN DAISY MEXAS LPC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 20351 HIGHWAY 6 STE B
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City | MANVEL
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State | TX
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Zip | 77578-3882
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Country | US
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Telephone | 979-233-1584
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Fax |
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Provider Business Mailing Address
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Address Line | 8219 BLACKCHERRY LN
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City | BAYTOWN
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State | TX
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Zip | 77523-4871
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Country | US
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Telephone | 832-671-3115
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 90330
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License Number State | TX
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