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General NPI Number Information
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NPI Number | 1669311676
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Entity Type | Organization
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Legal Business Name | THREE PILLARS COMMUNITY LIVING LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 4503 CROSLEY FIELD DR
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City | SPRING
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State | TX
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Zip | 77389-5307
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Country | US
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Telephone | 346-426-8482
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Fax | 713-405-2793
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Provider Business Mailing Address
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Address Line | 4503 CROSLEY FIELD DR
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City | SPRING
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State | TX
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Zip | 77389-5307
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Country | US
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Telephone | 346-426-8482
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Fax | 713-405-2793
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MS. KANDACE LEWIS
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Credential |
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Telephone | 832-705-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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