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General NPI Number Information
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NPI Number | 1821704024
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Entity Type | Individual
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Provider Name | ELED SHKURTI LCSW LCDC
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Gender | Male
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 19500 ST HWY 249 STE 120
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City | HOUSTON
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State | TX
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Zip | 77070-3027
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Country | US
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Telephone | 844-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 16734 THORN CYPRESS DR
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City | CYPRESS
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State | TX
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Zip | 77429-4179
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Country | US
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Telephone | 713-894-3107
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 14755
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 104319
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104319
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License Number State | TX
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