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General NPI Number Information
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NPI Number | 1811819964
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Entity Type | Organization
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Legal Business Name | EVERWELL NEURODEVELOPMENTAL INSTITUTE PLLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 1210 PAVILION PKWY
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City | MIDLAND
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State | TX
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Zip | 79705-2089
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Country | US
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Telephone | 417-533-2571
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 PAVILION PKWY
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City | MIDLAND
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State | TX
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Zip | 79705-2089
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHYANNE ANTHONY
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Credential | PHD, LPC, HS-BCP
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Telephone | 417-533-2571
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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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