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General NPI Number Information
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NPI Number | 1790581866
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Entity Type | Organization
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Legal Business Name | THE VILLAGE BUILDERS CLINICAL COUNSELING SOLUTIONS AND CONSULTING, PLLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 2717 COMMERCIAL CENTER BLVD STE E200
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City | KATY
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State | TX
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Zip | 77494-7823
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Country | US
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Telephone | 346-436-7334
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | FULSHEAR
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State | TX
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Zip | 77441-0040
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Country | US
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Telephone | 580-512-9862
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA L TANNER
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Credential | EDD, LPC, LMFT, LADC
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Telephone | 580-512-9862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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