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1134729106
PROVOST PSYCHOTHERAPY
HOUSTON, TX
NPI
1134729106
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Entity Type
Organization
Authorized Contact
ELIZABETH ERIN PROVOST
C Linical Director
713-302-1348
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
PROVOST PSYCHOTHERAPY
1300 BAY AREA BLVD STE B150-28
HOUSTON, TX 77058-2505
Phone number: 325-603-9322
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Mailing Address
PROVOST PSYCHOTHERAPY
1300 BAY AREA BLVD STE B150-28
HOUSTON, TX 77058-2505
Phone number: 325-603-9322
Copy
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