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General NPI Number Information
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NPI Number | 1629401948
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Entity Type | Organization
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Legal Business Name | SMITHSON VALLEY COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 08/11/2013
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Last Update Date | 08/11/2013
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Provider Practice Location Address
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Address Line | 6102 FM 311
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City | SPRING BRANCH
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State | TX
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Zip | 78070-7247
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Country | US
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Telephone | 830-885-7648
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Fax | 800-244-7801
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Provider Business Mailing Address
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Address Line | 2206 COMAL SPGS
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City | CANYON LAKE
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State | TX
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Zip | 78133-5996
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Country | US
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Telephone | 830-885-7648
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Fax | 800-244-7801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHEILA KAY MCHENRY
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Credential | PSYD MFT RAS
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Telephone | 830-885-7648
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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 | 202037
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License Number State | TX
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