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General NPI Number Information
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NPI Number | 1588247290
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Entity Type | Organization
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Legal Business Name | THERAPY GOALS AND RESOLUSTIONS BEHVIORAL HEALTHCARE PLLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 11200 BROADWAY ST STE 2743
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City | PEARLAND
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State | TX
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Zip | 77584-9787
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Country | US
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Telephone | 832-699-3117
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Fax | 832-743-4225
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | RICHMOND
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State | TX
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Zip | 77406-0024
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Country | US
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Telephone | 979-661-1764
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMIEKO ROGERS
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Credential | LPC
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Telephone | 326-993-1178
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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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