Healthcare Provider Details

I. General information

NPI: 1093645665
Provider Name (Legal Business Name): GUIDED HANDS SUPPORTED EMPLOYMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 MORNING DEW DR
ANNA TX
75409-6111
US

IV. Provider business mailing address

1004 MORNING DEW DR
ANNA TX
75409-6111
US

V. Phone/Fax

Practice location:
  • Phone: 929-427-7445
  • Fax:
Mailing address:
  • Phone: 929-427-7445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMUDAT SALAM
Title or Position: OPERATOR
Credential:
Phone: 929-427-7445