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NPI 1902534449

NPI 1902534449 : FAMILY FOUNDATION INITIATIVES, PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1902534449
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY FOUNDATION INITIATIVES, PLLC 
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Dates
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    Enumeration Date     |    08/11/2022
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    Last Update Date     |    08/10/2023
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Provider Practice Location Address
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    Address Line         |    16770 IMPERIAL VALLEY DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77060-3400
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    Country              |    US
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    Telephone            |    281-843-5621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15367 CENTRAL CRESCENT DR 
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    City                 |    NEW CANEY
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    State                |    TX
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    Zip                  |    77357-3477
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. KIMBERLY  GLAUDY 
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    Credential           |    LMFT
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    Telephone            |    346-388-5098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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