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General NPI Number Information
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NPI Number | 1194500108
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Entity Type | Organization
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Legal Business Name | A PROMISING JOURNEY INC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 18418 DESERT MARIGOLD DR
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City | HOUSTON
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State | TX
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Zip | 77073-4490
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Country | US
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Telephone | 281-645-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 18418 DESERT MARIGOLD DR
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City | HOUSTON
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State | TX
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Zip | 77073-4490
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Country | US
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Telephone | 281-645-4490
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL LEVEL SERVICE PROVIDER
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Name | LAKEISHA BRADSHAW
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Credential |
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Telephone | 281-645-4490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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