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General NPI Number Information
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NPI Number | 1982312807
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Entity Type | Organization
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Legal Business Name | MIND SOLUTIONS HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 5959 GATEWAY BLVD W STE 415
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City | EL PASO
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State | TX
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Zip | 79925-3318
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Country | US
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Telephone | 915-313-5436
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Fax |
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Provider Business Mailing Address
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Address Line | 5959 GATEWAY BLVD W STE 415
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City | EL PASO
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State | TX
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Zip | 79925-3318
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Country | US
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Telephone | 915-313-5436
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Fax | 915-213-2105
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | MARIA ESTHER ORTA
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Credential | LPC
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Telephone | 915-217-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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