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NPI 1295210284

NPI 1295210284 : SAPPHIRE THERAPEUTIC SERVICES, INC. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1295210284
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAPPHIRE THERAPEUTIC SERVICES, INC. 
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Dates
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    Enumeration Date     |    09/26/2018
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4606 FM 1960 RD W STE 144 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77069-4639
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    Country              |    US
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    Telephone            |    281-714-5121
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    Fax                  |    281-350-1284
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Provider Business Mailing Address
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    Address Line         |    25715 SERENE SPRING LN 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77373-8465
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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    |    EXECUTIVE DIRECTOR
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    Name                 |     ADRIAN RASHAD SKINNER 
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    Credential           |    LCSW
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    Telephone            |    281-714-5121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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