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General NPI Number Information
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NPI Number | 1801743588
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Entity Type | Organization
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Legal Business Name | KATIE BLOODWORTH COUNSELING
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 5511 PARKCREST DR
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City | AUSTIN
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State | TX
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Zip | 78731-4938
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Country | US
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Telephone | 512-200-3738
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Fax |
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Provider Business Mailing Address
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Address Line | 4159 STECK AVE UNIT 228
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City | AUSTIN
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State | TX
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Zip | 78759-8527
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Country | US
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Telephone | 512-200-3738
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Fax |
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Authorized Official
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Title or Position | OWNER AND MENTAL HEALTH THERAPIST
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Name | KATIE BLOODWORTH
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Credential | LPC
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Telephone | 512-200-3738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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