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General NPI Number Information
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NPI Number | 1962209924
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Entity Type | Organization
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Legal Business Name | CAYT'S PLACE, INC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1991 NW COUNTY ROAD 0020
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City | CORSICANA
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State | TX
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Zip | 75110-2179
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Country | US
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Telephone | 430-236-4114
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Fax | 469-940-3522
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Provider Business Mailing Address
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Address Line | 1991 NW COUNTY ROAD 0020
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City | CORSICANA
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State | TX
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Zip | 75110-2179
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Country | US
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Telephone | 430-236-4114
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Fax | 469-940-3522
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Authorized Official
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Title or Position | BOARD OF DIRECTOR/FOUNDER
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Name | JENNY HENSON
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Credential | LPC, LCDC
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Telephone | 430-236-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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