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General NPI Number Information
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NPI Number | 1669774337
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Entity Type | Organization
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Legal Business Name | HOUSTON PSYCHOTHERAPY & COUNSELING SERVICES
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 7660 WOODWAY DR STE 301
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City | HOUSTON
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State | TX
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Zip | 77063-1532
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Country | US
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Telephone | 713-782-4657
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Fax | 713-782-3928
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Provider Business Mailing Address
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Address Line | 7660 WOODWAY DR STE 301
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City | HOUSTON
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State | TX
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Zip | 77063-1532
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Country | US
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Telephone | 713-782-4657
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Fax | 713-782-3928
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHERYL GRACEY SIMMONS
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Credential | LCSW
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Telephone | 713-782-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 004832
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3739
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License Number State | TX
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