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General NPI Number Information
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NPI Number | 1780571984
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Entity Type | Individual
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Provider Name | MICHELLE E. HAYDEN M.A., LPC-A
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 16486 FM 463
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City | LYTLE
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State | TX
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Zip | 78052-4588
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Country | US
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Telephone | 830-709-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 DEVINE DR
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City | DEVINE
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State | TX
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Zip | 78016-1607
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Country | US
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Telephone | 210-396-3175
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Fax |
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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 | 99111
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License Number State | TX
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