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General NPI Number Information
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NPI Number | 1497626352
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Entity Type | Organization
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Legal Business Name | RESILIENCE THERAPY OF LUBBOCK
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3223 S. LOOP SUITE 416
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City | LUBBOCK
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State | TX
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Zip | 79423
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Country | US
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Telephone | 806-370-7359
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 S LOOP 289 UNIT 65415
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City | LUBBOCK
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State | TX
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Zip | 79464-6961
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | SAMUEL FARLEY
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Credential |
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Telephone | 620-440-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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