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General NPI Number Information
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NPI Number | 1952035701
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Entity Type | Organization
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Legal Business Name | 360 THERAPY & PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 3000 WESLAYAN ST STE 265
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City | HOUSTON
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State | TX
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Zip | 77027-5751
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Country | US
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Telephone | 713-320-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 CUMBERLAND DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4924
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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 | OWNER
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Name | DR. NNEKA NNADOZIE
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Credential | PSYD
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Telephone | 832-298-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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