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General NPI Number Information
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NPI Number | 1811862154
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Entity Type | Organization
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Legal Business Name | BECOMING THE WHOLE YOU LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 12370 POTRANCO RD, STE 207 #241
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City | SAN ANTONIO
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State | TX
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Zip | 78253
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Country | US
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Telephone | 830-223-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 12370 POTRANCO RD, STE 207 #241
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City | SAN ANTONIO
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State | TX
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Zip | 78253
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Country | US
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Telephone | 830-223-1752
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA STYLES LEWIS
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Credential | PH.D.
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Telephone | 864-616-8108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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