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General NPI Number Information
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NPI Number | 1689555609
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Entity Type | Organization
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Legal Business Name | THE LISTENING SPACE BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3103 MULLINGAR WALK
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6047
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Country | US
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Telephone | 281-770-3751
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Fax | 832-440-7749
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Provider Business Mailing Address
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Address Line | 3103 MULLINGAR WALK
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6047
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Country | US
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Telephone | 281-770-3751
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Fax | 832-440-7749
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KIMBERLY SILLS MERSADES SILLS
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Credential |
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Telephone | 281-770-3751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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