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General NPI Number Information
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NPI Number | 1871801753
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Entity Type | Individual
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Provider Name | CAROLYN ELISABETH RAY CAROLYN RAY, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 7137 COLLEYVILLE BLVD SUITE 101
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6240
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Country | US
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Telephone | 817-996-4599
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Fax |
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Provider Business Mailing Address
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Address Line | 4017 FAIRMONT CT
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City | BEDFORD
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State | TX
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Zip | 76021-2753
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Country | US
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Telephone | 817-996-4599
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Fax | 877-226-9863
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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