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General NPI Number Information
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NPI Number | 1366231268
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Entity Type | Organization
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Legal Business Name | SALOSO FAMILY WELLNESS LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 20914 CAMELOT LEGEND DR
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City | TOMBALL
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State | TX
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Zip | 77375-0079
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Country | US
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Telephone | 318-436-1864
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Fax |
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Provider Business Mailing Address
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Address Line | 20914 CAMELOT LEGEND DR
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City | TOMBALL
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State | TX
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Zip | 77375-0079
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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/FOUNDER
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Name | SAWAYLA UGWUEGBU
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Credential | MPH, CHES, CWP
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Telephone | 318-436-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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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 | 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 #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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