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General NPI Number Information
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NPI Number | 1699231126
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Entity Type | Organization
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Legal Business Name | HER THERAPY PLLC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 134 VINTAGE PARK BLVD STE A-503
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City | HOUSTON
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State | TX
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Zip | 77070-3998
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Country | US
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Telephone | 713-659-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 134 VINTAGE PARK BLVD STE A-503
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City | HOUSTON
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State | TX
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Zip | 77070-3998
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Country | US
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Telephone | 713-659-9784
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAQUANYA LINEN
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Credential | LPC
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Telephone | 803-605-2092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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