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General NPI Number Information
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NPI Number | 1275281156
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Entity Type | Organization
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Legal Business Name | TRELS HOME LLC
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 1110 N LOOP 336 W STE 425
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City | CONROE
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State | TX
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Zip | 77301-1193
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Country | US
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Telephone | 936-217-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 N LOOP 336 W STE 425
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City | CONROE
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State | TX
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Zip | 77301-1193
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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 | CEO
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Name | TANESHU COLLIER
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Credential |
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Telephone | 832-398-0712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 | 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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Taxonomy #4
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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