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General NPI Number Information
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NPI Number | 1710318639
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Entity Type | Organization
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Legal Business Name | UNITED CONNECTIONS COUNSELING, INC.
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 201 E MAIN ST
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City | ALICE
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State | TX
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Zip | 78332-4964
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Country | US
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Telephone | 361-661-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E MAIN ST
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City | ALICE
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State | TX
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Zip | 78332-4964
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Country | US
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Telephone | 361-562-6876
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | MR. OCTAVIO Z. FLORES
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Credential | LCDC, LPC-S
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Telephone | 361-562-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11058
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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