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General NPI Number Information
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NPI Number | 1992512628
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Entity Type | Organization
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Legal Business Name | TALKWORKS THERAPY, LLC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 3225 N FM 908
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City | ROCKDALE
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State | TX
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Zip | 76567-5818
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Country | US
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Telephone | 512-429-0201
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Fax | 512-883-6756
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Provider Business Mailing Address
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Address Line | PO BOX 169
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City | ROCKDALE
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State | TX
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Zip | 76567-0169
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Country | US
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Telephone | 512-429-0201
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Fax | 512-883-6756
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. LEESA PEREZ
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Credential | LPC
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Telephone | 512-429-0201
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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 |
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License Number State |
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