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General NPI Number Information
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NPI Number | 1801685045
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Entity Type | Organization
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Legal Business Name | SOULACE THERAPY PLLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 11502 CHIPWOOD HOLLOW CT
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City | SUGAR LAND
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State | TX
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Zip | 77498-7038
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Country | US
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Telephone | 832-588-1015
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Fax |
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Provider Business Mailing Address
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Address Line | 11645 S HIGHWAY 6 UNIT 828
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City | SUGAR LAND
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State | TX
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Zip | 77498-1302
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Country | US
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Telephone | 832-588-1015
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SADIA JALALI
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Credential | LMFT-S
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Telephone | 832-588-1015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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