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General NPI Number Information
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NPI Number | 1851972079
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Entity Type | Organization
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Legal Business Name | ATOMIC SOULS COUNSELING, PLLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1816 E 12TH ST
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City | AUSTIN
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State | TX
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Zip | 78702-2141
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Country | US
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Telephone | 512-553-2519
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 FM 1626 STE 170-403
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City | KYLE
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State | TX
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Zip | 78640-6038
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Country | US
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Telephone | 512-553-2519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL STEIN
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Credential |
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Telephone | 512-553-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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