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General NPI Number Information
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NPI Number | 1518719756
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Entity Type | Organization
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Legal Business Name | 9INE4LYF BEHAVIORAL SOLUTIONS
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 9888 BISSONNET ST STE 200
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City | HOUSTON
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State | TX
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Zip | 77036-8248
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Country | US
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Telephone | 979-243-9381
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Fax |
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Provider Business Mailing Address
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Address Line | 9888 BISSONNET ST STE 200
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City | HOUSTON
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State | TX
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Zip | 77036-8248
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Country | US
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Telephone | 979-243-9381
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Fax |
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Authorized Official
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Title or Position | APRN-PMHNP-BC
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Name | IFEOMA NELLY UDE-OKORO
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Credential | DNP,FNP-C,PMHNP-BC
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Telephone | 979-243-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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