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General NPI Number Information
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NPI Number | 1962282954
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Entity Type | Organization
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Legal Business Name | GUIDED CARE MANAGEMENT
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 1803
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City | LITTLE ELM
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State | TX
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Zip | 75068-2503
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Country | US
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Telephone | 469-386-4246
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 LITTLE ELM PKWY STE 1803
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City | LITTLE ELM
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State | TX
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Zip | 75068-2503
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Country | US
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Telephone | 469-386-4246
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TYNESHA PARKS
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Credential |
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Telephone | 469-386-4246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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