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General NPI Number Information
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NPI Number | 1649419599
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Entity Type | Individual
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Provider Name | LUIS LEOS PHD, LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 4500 ELDORADO PKWY STE 2400
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City | MCKINNEY
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State | TX
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Zip | 75070-2534
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Country | US
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Telephone | 214-477-1615
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Fax |
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Provider Business Mailing Address
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Address Line | 4808 UNION PARK BLVD E
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City | AUBREY
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State | TX
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Zip | 76227-1528
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Country | US
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Telephone | 214-477-1625
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MFT.0001656
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 63241
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License Number State | TX
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