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General NPI Number Information
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NPI Number | 1740736222
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Entity Type | Organization
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Legal Business Name | ACUITY PSYCHOTHERAPY SOLUTIONS, PLLC
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 2500 E T C JESTER BLVD SUITE 280
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City | HOUSTON
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State | TX
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Zip | 77008-1365
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Country | US
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Telephone | 281-764-1883
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Fax | 281-601-4677
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Provider Business Mailing Address
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Address Line | 2500 E T C JESTER BLVD SUITE 280
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City | HOUSTON
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State | TX
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Zip | 77008-1365
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Country | US
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Telephone | 281-764-1883
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Fax | 281-601-4677
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | OSSENIA JEFF
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Credential | LCSW
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Telephone | 281-764-1885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 56990
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License Number State | TX
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