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General NPI Number Information
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NPI Number | 1841659562
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Entity Type | Organization
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Legal Business Name | AMY I. BRENT THERAPY AND COUNSELING, PLLC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 11900 JOLLYVILLE RD #201390
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City | AUSTIN
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State | TX
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Zip | 78759
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Country | US
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Telephone | 512-758-5009
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Fax | 847-785-2605
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Provider Business Mailing Address
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Address Line | PO BOX 201390
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City | AUSTIN
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State | TX
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Zip | 78720
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Country | US
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Telephone | 512-758-5009
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Fax | 847-785-2605
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | AMY BRENT
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Credential |
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Telephone | 512-758-5009
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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 | 68965
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License Number State | TX
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