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General NPI Number Information
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NPI Number | 1467155044
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Entity Type | Organization
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Legal Business Name | JASMINE'S HOUSE OF HOPE, INC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 15514 STONEY FORK DR
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City | HOUSTON
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State | TX
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Zip | 77084-3661
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Country | US
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Telephone | 770-256-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 15514 STONEY FORK DR
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City | HOUSTON
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State | TX
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Zip | 77084-3661
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Country | US
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Telephone | 770-256-1080
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | JACQUELINE WILLIAMS
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Credential |
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Telephone | 770-256-1080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 174200000X
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Taxonomy Name | Meals Provider
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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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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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 #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #9
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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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