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General NPI Number Information
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NPI Number | 1780532622
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Entity Type | Organization
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Legal Business Name | COMPLETE MODERN THERAPY PLLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 2113 HARWOOD RD
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City | BEDFORD
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State | TX
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Zip | 76021-4707
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Country | US
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Telephone | 682-232-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 2113 HARWOOD RD # 1012
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City | BEDFORD
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State | TX
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Zip | 76021-4707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | ROBIN MCDAVID-RANSOM
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Credential |
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Telephone | 682-232-0361
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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 |
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License Number State |
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