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General NPI Number Information
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NPI Number | 1821677204
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Entity Type | Organization
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Legal Business Name | HEIGHTS PLAY THERAPY PLLC
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 373 1/2 W 19TH ST STE 2
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City | HOUSTON
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State | TX
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Zip | 77008-3946
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Country | US
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Telephone | 713-574-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 373 1/2 W 19TH ST STE 2
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City | HOUSTON
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State | TX
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Zip | 77008-3946
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Country | US
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Telephone | 713-574-5423
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MS. ASHLEE TOLLE BIXBY
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Credential | MED, LPC, NCC
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Telephone | 713-574-5423
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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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