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General NPI Number Information
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NPI Number | 1417684036
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Entity Type | Organization
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Legal Business Name | IT TAKES A VILLAGE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 2101 CITYWEST BLVD STE 125
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City | HOUSTON
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State | TX
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Zip | 77042-2830
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Country | US
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Telephone | 804-546-9913
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 CITYWEST BLVD STE 125
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City | HOUSTON
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State | TX
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Zip | 77042-2830
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Country | US
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Telephone | 804-546-9913
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHALRISE JONES
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Credential |
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Telephone | 804-546-9913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 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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