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General NPI Number Information
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NPI Number | 1770136483
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Entity Type | Organization
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Legal Business Name | SHARYLAND COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1506 E GRIFFIN PKWY STE F
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City | MISSION
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State | TX
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Zip | 78572-2425
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Country | US
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Telephone | 956-255-3132
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Fax | 956-386-0006
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Provider Business Mailing Address
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Address Line | 1307 ALICIA LN
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City | MISSION
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State | TX
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Zip | 78572-3017
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Country | US
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Telephone | 956-255-3132
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Fax | 956-386-0006
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Authorized Official
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Title or Position | OWNER
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Name | EDUARDO T GONZALEZ
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Credential | LPC
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Telephone | 956-255-3132
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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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