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General NPI Number Information
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NPI Number | 1629743513
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Entity Type | Organization
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Legal Business Name | GUIDED PATH COUNSELING AND FAMILY SERVICES LLC.
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 12830 WILLOW CENTRE DR STE C
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City | HOUSTON
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State | TX
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Zip | 77066-3040
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Country | US
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Telephone | 281-583-5003
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Fax | 346-229-1749
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Provider Business Mailing Address
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Address Line | 12830 WILLOW CENTRE DR STE C
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City | HOUSTON
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State | TX
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Zip | 77066-3040
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Country | US
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Telephone | 281-583-5003
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Fax | 346-229-1749
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Authorized Official
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Title or Position | MANAGER
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Name | LEAH COLETTE MAYON
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Credential | MS,LCDC
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Telephone | 281-583-5003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 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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