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General NPI Number Information
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NPI Number | 1871365130
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Entity Type | Organization
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Legal Business Name | CROSSPOINT MENTAL HEALTH THERAPY
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 1350 N BLUE MOUND ROAD, #2101
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City | SAGINAW
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State | TX
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Zip | 76131
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Country | US
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Telephone | 817-934-9500
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Fax | 888-329-2764
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Provider Business Mailing Address
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Address Line | 5764 N ORANGE BLOSSOM TRL PMB 61546
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City | ORLANDO
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State | FL
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Zip | 32810
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Country | US
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Telephone | 817-934-9500
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Fax | 888-329-2764
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL MOATES
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Credential | EDD, LP, LBA, LMHC
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Telephone | 817-934-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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