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General NPI Number Information
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NPI Number | 1598575755
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Entity Type | Organization
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Legal Business Name | TEXAS WELLNESS & TRAUMA RECOVERY, PLLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 907 RANCH ROAD 620 S STE 202C
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City | LAKEWAY
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State | TX
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Zip | 78734-5609
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Country | US
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Telephone | 512-937-3883
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Fax |
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Provider Business Mailing Address
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Address Line | 907 RANCH ROAD 620 S STE 202C
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City | LAKEWAY
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State | TX
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Zip | 78734-5609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | DRAKE SCALLON
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Credential |
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Telephone | 512-937-3883
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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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License Number State |
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