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General NPI Number Information
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NPI Number | 1184258030
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Entity Type | Organization
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Legal Business Name | COMMUNITY PARTNERS & SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 03/01/2020
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 8303 SOUTHWEST FWY STE 112
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City | HOUSTON
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State | TX
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Zip | 77074-1620
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Country | US
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Telephone | 804-938-1691
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Fax | 713-505-1036
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Provider Business Mailing Address
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Address Line | 6136 WINDRUSH CT
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-5272
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Country | US
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Telephone | 804-938-1691
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT BRADLEY
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Credential |
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Telephone | 804-938-1691
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 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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