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General NPI Number Information
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NPI Number | 1912772765
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Entity Type | Organization
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Legal Business Name | CONSTANTLY EVOLVING, LLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 363 N SAM HOUSTON PKWY E STE 1100
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City | HOUSTON
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State | TX
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Zip | 77060-2413
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Country | US
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Telephone | 832-920-6219
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Fax |
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Provider Business Mailing Address
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Address Line | 363 N SAM HOUSTON PKWY E STE 1100
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City | HOUSTON
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State | TX
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Zip | 77060-2413
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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 | MEMBER
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Name | VIVIAN K. HENDERSON
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Credential | LCSW-C
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Telephone | 832-920-6219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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