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General NPI Number Information
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NPI Number | 1861375420
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Entity Type | Organization
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Legal Business Name | THE FOUNDATION FOR COMMUNITY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2365 IH 10 E STE 4
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City | BEAUMONT
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State | TX
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Zip | 77702-1344
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Country | US
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Telephone | 409-673-4715
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Fax |
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Provider Business Mailing Address
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Address Line | 675 CALHOUN AVE
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City | BEAUMONT
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State | TX
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Zip | 77707-1169
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Country | US
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Telephone | 409-673-4715
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Fax | 409-673-4715
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. MELBA THOMAS HILLIARD
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Credential | LPC
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Telephone | 409-673-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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