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General NPI Number Information
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NPI Number | 1700639606
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Entity Type | Organization
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Legal Business Name | TWELFTH HOUSE COUNSELING
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 729 N BISHOP AVE
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City | DALLAS
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State | TX
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Zip | 75208-4340
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Country | US
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Telephone | 214-216-6208
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Fax |
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Provider Business Mailing Address
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Address Line | 12825 PARK HILL CT
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City | BALCH SPRINGS
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State | TX
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Zip | 75180-4821
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Country | US
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Telephone | 972-322-6136
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEJANDRA L LAZALDE
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Credential | LPC
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Telephone | 972-322-6136
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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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