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General NPI Number Information
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NPI Number | 1710623087
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Entity Type | Organization
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Legal Business Name | TANGLEWOOD BEHAVIORAL HEALTH GROUP PC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 1220 AUGUSTA DR STE 290
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City | HOUSTON
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State | TX
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Zip | 77057-2261
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Country | US
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Telephone | 832-931-7596
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Fax | 832-391-8219
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Provider Business Mailing Address
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Address Line | 1220 AUGUSTA DR STE 290
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City | HOUSTON
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State | TX
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Zip | 77057-2261
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Country | US
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Telephone | 832-931-7596
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Fax | 832-391-8219
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DR. CHRISTINE RIVER BLOCK
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Credential | PHD, LCSW
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Telephone | 832-931-7596
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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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