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General NPI Number Information
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NPI Number | 1689086696
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Entity Type | Organization
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Legal Business Name | PARRA BEHAVIORAL HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 05/24/2014
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Last Update Date | 05/24/2014
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Provider Practice Location Address
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Address Line | 3875 E SOUTHCROSS BLVD SUITE A
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3521
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Country | US
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Telephone | 210-220-1742
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Fax | 888-228-5775
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Provider Business Mailing Address
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Address Line | 3875 E SOUTHCROSS BLVD SUITE A
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3521
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Country | US
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Telephone | 210-220-1742
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Fax | 888-228-5775
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAFAEL ALBERTO PARRA
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Credential | L.P.C.
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Telephone | 210-220-1742
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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 | 61367
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License Number State | TX
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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 | 61367
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 61367
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License Number State | TX
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