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General NPI Number Information
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NPI Number | 1801204367
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Entity Type | Organization
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Legal Business Name | CHOICES TO CHANGES PSYCHOTHERAPY
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 2616 S LOOP W SUITE 550
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 832-754-9925
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Fax | 713-283-0821
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Provider Business Mailing Address
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Address Line | 2616 S LOOP W SUITE 550
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 832-754-9925
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Fax | 713-283-0821
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Authorized Official
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Title or Position | OWNER
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Name | LERLENE SANTOYO
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Credential | LPC, ASOTP
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Telephone | 832-754-9925
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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 | 63927
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License Number State | TX
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