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NPI Code Detail

MEDICARE: COMMUNITY CARE TEAM LLC

MEDICARE: COMMUNITY CARE TEAM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2251B00000XCase Management Agency
3261QC1500XCommunity Health Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5261QM0850XAdult Mental Health Clinic/Center
6261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
7101YM0800XMental Health Counselor
8101YP2500XProfessional Counselor
9251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629923529
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY CARE TEAM LLC
Provider Business Mailing Address
First Line : 15800 W HARDY RD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3148
Country : US
Telephone Number : 832-798-1411
Fax Number :
Provider Business Practice Location Address
First Line : 15800 W HARDY RD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3148
Country : US
Telephone Number : 832-798-1411
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KIMBERLY C DAWKINS
Credential :
Telephone Number : 832-798-1411
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “COMMUNITY CARE TEAM LLC ” Practice Location

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