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General NPI Number Information
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NPI Number | 1942644547
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Entity Type | Organization
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Legal Business Name | HEALING PATHWAYS PLLC
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 1403 LIVE OAK RD
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City | LEANDER
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State | TX
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Zip | 78641-8420
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Country | US
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Telephone | 713-515-0069
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Fax | 979-830-1693
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Provider Business Mailing Address
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Address Line | 651 N HIGHWAY 183 SUITE 335-56
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City | LEANDER
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State | TX
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Zip | 78641-7001
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Country | US
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Telephone | 713-515-0069
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Fax | 979-830-1693
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Authorized Official
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Title or Position | MEMBER
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Name | MS. HAZEL LEIGH MCRAE
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Credential | LPC
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Telephone | 713-515-0069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12963
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License Number State | TX
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