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General NPI Number Information
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NPI Number | 1235968660
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Entity Type | Organization
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Legal Business Name | COMMUNITY ALLIES LLC
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 440 LOUISIANA ST # 952
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City | HOUSTON
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State | TX
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Zip | 77002-1639
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Country | US
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Telephone | 603-289-7047
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 POPLAR POINTE SE
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City | SMYRNA
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State | GA
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Zip | 30082-2212
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BRYANT BETTEZ
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Credential |
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Telephone | 603-289-7047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 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 #3
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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 #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation 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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #7
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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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