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General NPI Number Information
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NPI Number | 1548259260
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Entity Type | Organization
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Legal Business Name | GREENWAY PSYCHOTHERAPY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3100 WESLAYAN ST SUITE 375
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City | HOUSTON
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State | TX
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Zip | 77027-5727
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Country | US
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Telephone | 713-850-1980
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Fax | 713-850-1522
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Provider Business Mailing Address
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Address Line | PO BOX 27375
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City | HOUSTON
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State | TX
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Zip | 77227-7375
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Country | US
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Telephone | 713-850-1980
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Fax | 713-850-1522
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD LEON NEWMAN
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Credential | M.ED.
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Telephone | 713-850-1980
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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 | 02950
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License Number State | TX
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