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General NPI Number Information
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NPI Number | 1750311379
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Entity Type | Individual
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Provider Name | ANDREA MARIE DAVIS LPC-S, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/31/2024
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Provider Practice Location Address
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Address Line | 2007 N COLLINS BLVD STE 411
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City | RICHARDSON
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State | TX
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Zip | 75080-2665
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Country | US
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Telephone | 972-544-6633
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Fax | 214-237-1269
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Provider Business Mailing Address
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Address Line | 8915 GROVELAND DR
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City | DALLAS
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State | TX
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Zip | 75218-4217
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Country | US
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Telephone | 682-252-2590
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Fax | 214-237-1269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 20227
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 20227
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License Number State | TX
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