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General NPI Number Information
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NPI Number | 1629604137
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Entity Type | Organization
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Legal Business Name | CENTREPATH COUNSELING PLLC
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 11807 WESTHEIMER RD STE 550 PMB 736
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City | HOUSTON
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State | TX
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Zip | 77077
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Country | US
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Telephone | 832-539-3892
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Fax |
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Provider Business Mailing Address
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Address Line | 11807 WESTHEIMER RD STE 550 PMB 736
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City | HOUSTON
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State | TX
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Zip | 77077
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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 | PRESIDENT
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Name | MR. VAUGHN P O'NEAL
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Credential | LCSW
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Telephone | 832-539-3892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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