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NPI 1902651359

NPI 1902651359 : INCLUSIVE PSYCHIATRY LLC : PEARLAND, TX

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General NPI Number Information
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    NPI Number           |    1902651359
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    Entity Type          |    Organization 
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    Legal Business Name  |    INCLUSIVE PSYCHIATRY LLC 
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Dates
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    Enumeration Date     |    04/19/2024
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    Last Update Date     |    05/06/2024
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Provider Practice Location Address
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    Address Line         |    3422 BUSINESS CENTER DR 
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    City                 |    PEARLAND
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    State                |    TX
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    Zip                  |    77584-4155
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    Country              |    US
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    Telephone            |    713-391-9558
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5010 ASHLAND GLEN LN 
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    City                 |    MANVEL
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    State                |    TX
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    Zip                  |    77578-2122
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    Country              |    US
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    Telephone            |    713-391-9558
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |     FELICITAS CHIOMA OKWARA 
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    Credential           |    PMHNP-BC
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    Telephone            |    713-391-9558
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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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Taxonomy #2
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    
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    License Number State |    
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