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General NPI Number Information
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NPI Number | 1912364753
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Entity Type | Organization
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Legal Business Name | CARE CONNECTIONS MENTAL WELLNESS AND LEARNING CENTER
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 5123 PANAY PARK DR
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City | HOUSTON
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State | TX
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Zip | 77048-4062
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Country | US
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Telephone | 713-294-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 5144 E SAM HOUSTON PKWY N
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City | HOUSTON
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State | TX
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Zip | 77015-3225
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Country | US
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Telephone | 713-294-6238
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THERESA HARRIS
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Credential | LPC
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Telephone | 713-294-6238
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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 | TX
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