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General NPI Number Information
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NPI Number | 1700571635
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Entity Type | Organization
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Legal Business Name | PURPOSEFUL IQ
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 6319 FAULKNER RIDGE DR
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City | KATY
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State | TX
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Zip | 77450-7008
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Country | US
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Telephone | 281-691-5056
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Fax |
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Provider Business Mailing Address
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Address Line | 6319 FAULKNER RIDGE DR
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City | KATY
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State | TX
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Zip | 77450-7008
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Country | US
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Telephone | 281-691-5056
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VICKY PIERRE
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Credential | LCSW-S, MBA
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Telephone | 281-691-5056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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