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General NPI Number Information
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NPI Number | 1497470090
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Entity Type | Organization
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Legal Business Name | RESTORATION HOUSE ALCOHOL AND DRUG EDUCATION SERVICES
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 03/31/2024
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Provider Practice Location Address
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Address Line | 501 CONGRESS AVE STE 150
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City | AUSTIN
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State | TX
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Zip | 78701-3575
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Country | US
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Telephone | 713-832-2027
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Fax | 832-240-3396
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Provider Business Mailing Address
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Address Line | 315 E AVENUE G
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City | KILLEEN
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State | TX
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Zip | 76541-6152
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Country | US
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Telephone | 713-832-2027
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Fax | 832-240-3396
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Authorized Official
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Title or Position | OWNER
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Name | THADDEUS HENDERSON
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Credential |
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Telephone | 832-713-8485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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