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General NPI Number Information
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NPI Number | 1841935103
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Entity Type | Organization
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Legal Business Name | ALYSSA CEDILLO COUNSELING PLLC AKA TREE OF LIFE COUNSELING CENTER
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1214 SANTA MONICA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78201-4213
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Country | US
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Telephone | 210-570-8898
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Fax | 855-568-1312
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Provider Business Mailing Address
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Address Line | 1214 SANTA MONICA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78201-4213
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Country | US
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Telephone | 210-570-8898
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Fax | 855-568-1312
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | ALYSSA M CEDILLO
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Credential | LPC-S, RPT-S
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Telephone | 210-570-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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