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General NPI Number Information
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NPI Number | 1801279302
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Entity Type | Organization
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Legal Business Name | COMCARE SUPPORT CENTER LLC
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 11777 KATY FWY STE 230S
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City | HOUSTON
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State | TX
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Zip | 77079-1773
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Country | US
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Telephone | 713-429-5114
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Fax | 999-398-4959
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Provider Business Mailing Address
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Address Line | 2019 RIVERINE CREST CIR
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City | KATY
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State | TX
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Zip | 77494-6751
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Country | US
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Telephone |
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Fax | 999-398-4959
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | R OLOPADE
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Credential |
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Telephone | 713-429-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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 #3
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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 #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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