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General NPI Number Information
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NPI Number | 1962934174
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Entity Type | Organization
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Legal Business Name | ENLIGHTEN COUNSELING AND THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13706 RESEARCH BLVD STE 114
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City | AUSTIN
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State | TX
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Zip | 78750-1838
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Country | US
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Telephone | 575-635-8316
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Fax |
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Provider Business Mailing Address
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Address Line | 18317 APPLIO CLAUDIO DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4267
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Country | US
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Telephone | 575-635-8316
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS ANGELA SEDILLO
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Credential | MA, LPCC, LPCC
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Telephone | 575-635-8316
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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 | 75796
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License Number State | TX
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