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General NPI Number Information
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NPI Number | 1538581574
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Entity Type | Organization
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Legal Business Name | THOMAS L STEVENS, INC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 12337 JONES RD STE 232
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City | HOUSTON
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State | TX
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Zip | 77070-4844
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Country | US
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Telephone | 281-493-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 12620 FM 1960 RD W # A4247
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City | HOUSTON
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State | TX
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Zip | 77065-5364
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Country | US
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Telephone | 281-493-4499
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | THOMAS L STEVENS
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Credential | LPC-S
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Telephone | 281-493-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13767
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License Number State | TX
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