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General NPI Number Information
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NPI Number | 1689165995
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Entity Type | Organization
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Legal Business Name | DAYBREAK COUNSELING PLLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 06/15/2024
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Provider Practice Location Address
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Address Line | 261 MISTLETOE LN
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City | KYLE
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State | TX
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Zip | 78640
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Country | US
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Telephone | 512-576-4662
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Fax | 210-598-0468
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Provider Business Mailing Address
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Address Line | 261 MISTLETOE LN
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City | KYLE
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State | TX
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Zip | 78640-5546
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Country | US
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Telephone | 512-693-7734
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN MENDOZA
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Credential |
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Telephone | 512-693-7734
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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 | 63277
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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 |
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License Number State |
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