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General NPI Number Information
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NPI Number | 1871324335
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Entity Type | Organization
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Legal Business Name | MONA MENTORS PLLC
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 363 N SAM HOUSTON PKWY E STE 1103
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City | HOUSTON
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State | TX
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Zip | 77060-2404
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Country | US
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Telephone | 713-266-2090
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Fax | 888-481-5657
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Provider Business Mailing Address
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Address Line | 446 BEACH ROSE XING
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City | CROSBY
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State | TX
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Zip | 77532-4167
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Country | US
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Telephone | 713-266-2090
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Fax |
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Authorized Official
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Title or Position | SOLE MANAGING MEMBER/PROVIDER
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Name | MONA S ELLIS
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Credential | SAP LCDC SUDC, LISAC
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Telephone | 713-266-2090
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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 | 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 #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 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 #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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