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General NPI Number Information
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NPI Number | 1568306884
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Entity Type | Organization
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Legal Business Name | WEEPING PINES INTEGRATED WELLNESS, LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 05/02/2026
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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 | 806-718-8788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50024
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City | AMARILLO
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State | TX
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Zip | 79159-0024
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Country | US
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Telephone | 806-718-8788
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KYLE D MCCALL
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Credential | MED, LPC
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Telephone | 806-718-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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