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General NPI Number Information
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NPI Number | 1487508909
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Entity Type | Organization
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Legal Business Name | GLOBAL IMPACT WELLNESS GROUP INC.
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2717 COMMERCIAL CENTER BLVD STE E200
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City | KATY
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State | TX
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Zip | 77494-7823
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Country | US
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Telephone | 800-990-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 COMMERCIAL CENTER BLVD STE E200
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City | KATY
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State | TX
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Zip | 77494-7823
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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 | OWNER
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Name | ANDREA VAUGHN GIVENS
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Credential |
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Telephone | 667-275-4491
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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 | 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 #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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