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General NPI Number Information
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NPI Number | 1316803901
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Entity Type | Organization
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Legal Business Name | FEROCITY THE EXPERIENCE LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1735 NORTHSTAR RD APT 2212
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City | DENTON
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State | TX
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Zip | 76208-1672
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Country | US
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Telephone | 225-348-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 NORTHSTAR RD APT 2212
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City | DENTON
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State | TX
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Zip | 76208-1672
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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 | PORCHE GOODMAN
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Credential |
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Telephone | 225-348-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 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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Taxonomy #5
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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