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General NPI Number Information
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NPI Number | 1720733256
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Entity Type | Organization
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Legal Business Name | LOVELY CASE MANAGEMENT & ASSESSMENT / TRAINING SERVICES LLC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 4830 WILSON RD STE 300
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City | HUMBLE
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State | TX
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Zip | 77396-1972
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Country | US
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Telephone | 281-608-9846
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 WILSON RD STE 300
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City | HUMBLE
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State | TX
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Zip | 77396-1972
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Country | US
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Telephone | 281-608-9846
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEWANNA LEWIS
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Credential | QMHP
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Telephone | 281-608-9846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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