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General NPI Number Information
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NPI Number | 1821980533
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Entity Type | Organization
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Legal Business Name | ATLAS OFFENDER EDUCATION LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 6707 BRENTWOOD STAIR RD STE 218
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City | FT WORTH
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State | TX
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Zip | 76112-3324
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Country | US
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Telephone | 214-952-7505
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Fax | 682-978-8808
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Provider Business Mailing Address
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Address Line | 6707 BRENTWOOD STAIR RD STE 218
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City | FT WORTH
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State | TX
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Zip | 76112-3324
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Country | US
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Telephone | 214-952-7505
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Fax | 682-978-8808
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Authorized Official
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Title or Position | CEO
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Name | JORGE A VASQUEZ
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Credential | LCDC
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Telephone | 214-952-7505
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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