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General NPI Number Information
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NPI Number | 1538753561
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Entity Type | Organization
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Legal Business Name | AOC ALPHA OMEGA COUNSELING AND CONSULTING SERVICES, PLLC
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 469-338-2338
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Fax | 855-795-1942
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Provider Business Mailing Address
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Address Line | 609 S GOLIAD ST UNIT 301
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City | ROCKWALL
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State | TX
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Zip | 75087-1912
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Country | US
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Telephone | 469-338-2338
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Fax | 855-795-1942
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LAVITA DIANNE RINCHELLE JONES
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Credential | LCSW-S
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Telephone | 469-338-2338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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