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General NPI Number Information
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NPI Number | 1306530670
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Entity Type | Individual
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Provider Name | DWIGHT D LAVAN, LCDC, ADC, SAP, CHW
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Gender | Male
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 2600 S LOOP W STE 322
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City | HOUSTON
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State | TX
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Zip | 77054-2886
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Country | US
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Telephone | 713-816-6646
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Fax | 346-450-6962
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Provider Business Mailing Address
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Address Line | PO BOX 300711
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City | HOUSTON
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State | TX
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Zip | 77230-0711
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Country | US
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Telephone | 713-816-6646
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Fax | 346-450-6962
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 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 #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 14456
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License Number State | TX
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Taxonomy #5
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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 | TX
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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