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General NPI Number Information
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NPI Number | 1770479743
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Entity Type | Organization
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Legal Business Name | TWELVE ROYAL GEMS WOMEN'S MENTAL HEALTH
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 8407 RUSTWOOD CT
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City | HUMBLE
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State | TX
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Zip | 77338-2742
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Country | US
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Telephone | 832-400-4363
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Fax |
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Provider Business Mailing Address
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Address Line | 8407 RUSTWOOD CT
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City | HUMBLE
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State | TX
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Zip | 77338-2742
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Country | US
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Telephone | 832-400-4363
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | SELAH ISRAEL
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Credential |
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Telephone | 832-425-3132
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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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