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General NPI Number Information
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NPI Number | 1174244230
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Entity Type | Organization
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Legal Business Name | TRUE FAMILY SERVICES TX LLC
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 03/03/2024
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Provider Practice Location Address
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Address Line | 6671 SOUTHWEST FWY STE 300K
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City | HOUSTON
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State | TX
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Zip | 77074-2212
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Country | US
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Telephone | 804-497-9405
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Fax |
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Provider Business Mailing Address
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Address Line | 105 E 16TH ST
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City | RICHMOND
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State | VA
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Zip | 23224-3813
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Country | US
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Telephone | 804-497-9405
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JUAN WILSON JR.
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Credential |
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Telephone | 804-497-9405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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