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NPI 1447339551

NPI 1447339551 : THERAPEUTIC BEHAVIORAL HEALTH ASSOC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1447339551
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    Entity Type          |    Organization 
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    Legal Business Name  |    THERAPEUTIC BEHAVIORAL HEALTH ASSOC. 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    07/29/2008
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Provider Practice Location Address
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    Address Line         |    12000 WESTHEIMER SUITE 206
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077
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    Country              |    US
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    Telephone            |    281-558-1900
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    Fax                  |    281-558-0505
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Provider Business Mailing Address
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    Address Line         |    12000 WESTHEIMER #206
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077
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    Country              |    US
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    Telephone            |    281-558-1900
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    Fax                  |    281-558-0505
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Authorized Official
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    Title or Position    |    LICENSED PROFESSIONAL COUNSELOR
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    Name                 |    MRS. L KAY HOWARD 
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    Credential           |    LPC
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    Telephone            |    281-558-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    15271
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    License Number State |    TX
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