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General NPI Number Information
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NPI Number | 1477710374
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Entity Type | Organization
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Legal Business Name | BAY AREA CONSULTATIONAND ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 1560 W BAY AREA BLVD SUITE 195
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2667
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Country | US
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Telephone | 281-286-6011
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Fax | 281-286-6043
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Provider Business Mailing Address
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Address Line | 1560 W BAY AREA BLVD SUITE 195
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2667
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Country | US
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Telephone | 281-286-6011
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Fax | 281-286-6043
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | LORIANNE M REEVES
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Credential | MA, LPC, LMFT, CEAP
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Telephone | 281-286-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 004522
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License Number State | TX
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