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General NPI Number Information
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NPI Number | 1700664356
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Entity Type | Organization
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Legal Business Name | MOVING MOUNTAINS, LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8124 BANKER ST
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City | NEEDVILLE
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State | TX
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Zip | 77461-8045
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Country | US
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Telephone | 832-361-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 8124 BANKER ST
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City | NEEDVILLE
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State | TX
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Zip | 77461-8045
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Country | US
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Telephone | 832-361-0054
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | SHANA RIDDLE
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Credential |
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Telephone | 832-361-0054
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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 | 251E00000X
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Taxonomy Name | Home 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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 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 #5
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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