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General NPI Number Information
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NPI Number | 1902602642
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Entity Type | Organization
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Legal Business Name | PENIEL MENTAL & BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 9896 BISSONNET ST STE 315
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City | HOUSTON
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State | TX
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Zip | 77036-8153
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Country | US
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Telephone | 914-619-4533
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Fax | 713-405-2722
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Provider Business Mailing Address
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Address Line | 8811 FM 1464 RD APT 2207
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City | RICHMOND
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State | TX
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Zip | 77407-3746
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Country | US
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Telephone | 914-619-4533
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | KATE ANIM KORANTENG
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Credential | NP
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Telephone | 914-619-4533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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