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General NPI Number Information
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NPI Number | 1891665519
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Entity Type | Organization
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Legal Business Name | BELLE MANOR BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 3810 DREXEL DR APT 343
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City | HOUSTON
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State | TX
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Zip | 77027-6869
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Country | US
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Telephone | 202-948-6125
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 DREXEL DR APT 343
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City | HOUSTON
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State | TX
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Zip | 77027-6869
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Country | US
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Telephone | 202-948-6125
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATIONS DIRECTOR
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Name | TIARRA TIARRA FAIN
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Credential |
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Telephone | 202-948-6125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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