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General NPI Number Information
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NPI Number | 1699360131
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Entity Type | Organization
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Legal Business Name | MAHONEY HEALTH LLC
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Dates
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Enumeration Date | 03/06/2021
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 140 CYPRESS STATION DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77090-1694
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Country | US
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Telephone | 325-340-3748
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Fax | 832-941-1153
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Provider Business Mailing Address
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Address Line | 140 CYPRESS STATION DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77090-1694
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Country | US
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Telephone | 832-534-0374
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Fax | 832-941-1153
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | NECOLE JOHNSON
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Credential |
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Telephone | 281-533-6880
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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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