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General NPI Number Information
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NPI Number | 1558567818
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Entity Type | Organization
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Legal Business Name | NEW LITE COUNSELING CENTER
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4101 NORTH FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77022-4200
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Country | US
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Telephone | 713-696-9885
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Fax | 713-696-9895
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Provider Business Mailing Address
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Address Line | 4101 NORTH FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77022-4200
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Country | US
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Telephone | 713-696-9885
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Fax | 713-696-9895
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. THEOPHILUS A NATTER
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Credential | PHD
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Telephone | 713-696-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3031
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License Number State | TX
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