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General NPI Number Information
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NPI Number | 1578376232
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Entity Type | Organization
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Legal Business Name | EMPOWERING CONNECTIONS THERAPY, PLLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3900 MERRETT DR STE C
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City | FORT WORTH
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State | TX
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Zip | 76135-2920
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Country | US
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Telephone | 817-980-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 MERRETT DR STE C
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City | FORT WORTH
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State | TX
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Zip | 76135-2920
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Country | US
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Telephone | 817-980-7272
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | DEISY YBARRA
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Credential | LPC-S
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Telephone | 817-980-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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