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General NPI Number Information
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NPI Number | 1811654023
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Entity Type | Organization
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Legal Business Name | WELLMIND COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 1915 N FRAZIER ST STE 102
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City | CONROE
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State | TX
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Zip | 77301-1243
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Country | US
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Telephone | 832-738-5169
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Fax |
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Provider Business Mailing Address
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Address Line | 12314 SHORE LANDS RD
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City | CYPRESS
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State | TX
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Zip | 77433-2627
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Country | US
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Telephone | 281-323-0940
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | FLORENCE F ALAO
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Credential | PMHNP
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Telephone | 281-323-0940
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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