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1710814108 NPI number — COLORS OF HOPE CENTER LLC DBA COLORS OF HOPE CENTER FOR DEVELOPMENTAL WELLNESS

NPI Number: 1710814108
Health Care Provider/Practitioner: COLORS OF HOPE CENTER LLC DBA COLORS OF HOPE CENTER FOR DEVELOPMENTAL WELLNESS

Information about “1710814108” NPI (COLORS OF HOPE CENTER LLC DBA COLORS OF HOPE CENTER FOR DEVELOPMENTAL WELLNESS) exists in 1710814108 in HTML format HTML  |  1710814108 in plain Text format TXT  |  1710814108 in PDF (Portable Document Format) PDF  |  1710814108 in an XML format XML  formats.

NPI Number : 1710814108 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710814108",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COLORS OF HOPE CENTER LLC DBA COLORS OF HOPE CENTER FOR DEVELOPMENTAL WELLNESS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "633 E FERNHURST DR STE 1304",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KATY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77450-1590",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-503-1553",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "633 E FERNHURST DR STE 1304",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KATY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77450-1590",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-503-1553",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2026",
    "LastUpdateDate": "05/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOODMAN",
    "AuthorizedOfficialFirstName": "ANDRANIQUE",
    "AuthorizedOfficialMiddleName": "LACHELLE",
    "AuthorizedOfficialTitle": "CLINIAL SUPERVISOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC-S",
    "AuthorizedOfficialTelephoneNumber": "281-503-1553",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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