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NPI 1952174625

NPI 1952174625 : UNBOUND PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1952174625
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNBOUND PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC 
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Dates
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    Enumeration Date     |    11/03/2023
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    Last Update Date     |    11/03/2023
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Provider Practice Location Address
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    Address Line         |    3333 WESLAYAN ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77027-6359
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    Country              |    US
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    Telephone            |    919-417-6705
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3733 WESTHEIMER RD STE 1 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77027-5226
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    Country              |    US
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    Telephone            |    469-215-2081
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER PSYCHOLOGIST
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    Name                 |    DR. TEMARA J HOLT 
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    Credential           |    PH.D.
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    Telephone            |    469-215-2081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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