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NPI 1124505961

NPI 1124505961 : MORE LOVE, MORE LIFE. PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1124505961
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORE LOVE, MORE LIFE. PLLC 
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Dates
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    Enumeration Date     |    07/24/2018
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    Last Update Date     |    07/23/2024
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Provider Practice Location Address
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    Address Line         |    2000 CRAWFORD ST STE 871 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77002-2244
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    Country              |    US
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    Telephone            |    281-299-7070
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    Fax                  |    281-377-7848
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Provider Business Mailing Address
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    Address Line         |    1500 HADLEY ST UNIT 962 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77001-4236
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    Country              |    US
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    Telephone            |    281-299-7070
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    Fax                  |    281-377-7848
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Authorized Official
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    Title or Position    |    OWNER & CLINICIAN
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    Name                 |     PRISCILLA  DAVIS 
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    Credential           |    
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    Telephone            |    281-299-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    75088
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    License Number State |    TX
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Taxonomy #2
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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 #3
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    Taxonomy Code        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    75088
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    License Number State |    TX
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