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NPI 1306598545

NPI 1306598545 : GERICARE BEHAVIORAL HEALTH PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1306598545
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    Entity Type          |    Organization 
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    Legal Business Name  |    GERICARE BEHAVIORAL HEALTH PLLC 
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Dates
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    Enumeration Date     |    01/19/2022
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    Last Update Date     |    01/24/2024
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Provider Practice Location Address
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    Address Line         |    7926 WOLFIELD LN 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77071-2039
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    Country              |    US
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    Telephone            |    713-804-9120
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    Fax                  |    713-944-2401
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Provider Business Mailing Address
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    Address Line         |    7926 WOLFIELD LN 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77071-2039
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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    |    OWNER
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    Name                 |     RACHEL LEAH GOLFEIZ 
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    Credential           |    LCSW
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    Telephone            |    848-299-3506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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