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General NPI Number Information
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NPI Number | 1447124722
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Entity Type | Organization
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Legal Business Name | UNITIVE COUNSELING SERVICES
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 102 BRAZOS LN
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City | KYLE
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State | TX
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Zip | 78640-5289
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Country | US
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Telephone | 936-866-0062
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BRAZOS LN
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City | KYLE
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State | TX
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Zip | 78640-5289
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Country | US
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Telephone | 936-936-8660
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. TANYA MARTINEZ-CARDENAS
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Credential | LPC, LCDC, SAP
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Telephone | 512-775-1027
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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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