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General NPI Number Information
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NPI Number | 1487229571
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Entity Type | Organization
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Legal Business Name | THE ALLICE COLLECTIVE FOR MENTAL HEALTH & COMMUNITY ENGAGEMENT
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 7457 HARWIN DR STE 266
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City | HOUSTON
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State | TX
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Zip | 77036-2018
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Country | US
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Telephone | 832-536-5948
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Fax | 832-922-4935
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Provider Business Mailing Address
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Address Line | PO BOX 820423
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City | HOUSTON
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State | TX
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Zip | 77282-0423
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Country | US
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Telephone | 832-536-5948
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Fax | 832-922-4935
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALLISON CELESTE BATES
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Credential | DSW, LCSW-S
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Telephone | 832-536-5948
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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 #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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