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General NPI Number Information
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NPI Number | 1942048590
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Entity Type | Organization
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Legal Business Name | CLEARMIND THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 3108 CONGRESS AVE
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City | PLANO
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State | TX
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Zip | 75025-3632
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Country | US
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Telephone | 214-757-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 20523
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 214-757-1920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RYAN C DOLLINGER
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Credential | LCSW
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Telephone | 214-757-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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