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General NPI Number Information
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NPI Number | 1821301631
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Entity Type | Organization
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Legal Business Name | MIND MATTERS, LLC
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 144 N TEXAS AVE
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City | MERCEDES
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State | TX
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Zip | 78570-2745
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Country | US
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Telephone | 956-514-1600
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Fax | 956-514-1606
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Provider Business Mailing Address
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Address Line | PO BOX 1135
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City | MERCEDES
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State | TX
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Zip | 78570-1135
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Country | US
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Telephone | 956-514-1600
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Fax | 956-514-1606
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Authorized Official
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Title or Position | LPC, LPA, LSSP / OWNER
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Name | MS. LINDAMAY VIERRA
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Credential |
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Telephone | 956-514-1600
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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 | 58934
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 59865
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64515
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 32034
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 31609
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 58958
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License Number State | TX
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