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General NPI Number Information
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NPI Number | 1629995196
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Entity Type | Organization
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Legal Business Name | ATX FAMILY THERAPY PLLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 19108 ZAVALA CV
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City | AUSTIN
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State | TX
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Zip | 78738-4410
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Country | US
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Telephone | 512-786-7426
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Fax |
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Provider Business Mailing Address
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Address Line | 19108 ZAVALA CV
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City | AUSTIN
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State | TX
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Zip | 78738-4410
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Country | US
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Telephone | 512-786-7426
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Fax |
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | THEODORE ERIC HALLS
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Credential | LMFT ASSOCIATE
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Telephone | 512-786-7426
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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 |
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License Number State |
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