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General NPI Number Information
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NPI Number | 1649939737
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Entity Type | Organization
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Legal Business Name | VISIONS OF SERENITY COUNSELING SERVICES INC
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 10/29/2023
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Provider Practice Location Address
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Address Line | 2401 FOUNTAIN VIEW DR STE 915
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City | HOUSTON
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State | TX
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Zip | 77057-4821
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Country | US
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Telephone | 832-336-1650
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 FOUNTAIN VIEW DR STE 915
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City | HOUSTON
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State | TX
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Zip | 77057-4821
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Country | US
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Telephone | 832-336-1650
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS CAMECIA CLARK
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Credential | LPC
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Telephone | 832-336-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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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 #4
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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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