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NPI 1922661529

NPI 1922661529 : FREE INDEED THERAPY LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1922661529
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    Entity Type          |    Organization 
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    Legal Business Name  |    FREE INDEED THERAPY LLC 
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Dates
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    Enumeration Date     |    04/18/2019
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    Last Update Date     |    04/18/2019
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Provider Practice Location Address
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    Address Line         |    3730 KIRBY DR STE 930 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-3933
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    Country              |    US
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    Telephone            |    713-299-6006
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3730 KIRBY DR STE 930 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-3933
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    Country              |    US
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    Telephone            |    713-299-6006
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. KATHY R TRIMBLE 
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    Credential           |    LPC, LCDC
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    Telephone            |    713-299-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    102L00000X
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    Taxonomy Name        |    Psychoanalyst
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    License Number       |    
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    License Number State |    
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