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General NPI Number Information
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NPI Number | 1407769284
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Entity Type | Organization
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Legal Business Name | TRUE NORTH CLINIC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 25807 WESTHEIMER PKWY STE 422
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City | KATY
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State | TX
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Zip | 77494-5369
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Country | US
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Telephone | 443-850-6344
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Fax |
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Provider Business Mailing Address
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Address Line | 25807 WESTHEIMER PKWY STE 422
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City | KATY
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State | TX
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Zip | 77494-5369
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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 | PMHNP
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Name | MRS. MUYIBA OJUOLAPE ANIFOWOSE
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Credential | PMHNP-BC
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Telephone | 443-850-6344
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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 | NULL
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