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NPI Code Detail

MEDICARE: LEAPFAITH

MEDICARE: LEAPFAITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2104100000XSocial Worker
3171M00000XCase Manager/Care Coordinator
4251S00000XCommunity/Behavioral Health Agency
5251B00000XCase Management Agency

General Provider Information

NPI Number : 1477349264
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEAPFAITH
Provider Business Mailing Address
First Line : 9894 BISSONNET ST STE 290
Second Line :
City : HOUSTON
State : TX
Zip : 77036-8285
Country : US
Telephone Number : 832-605-1927
Fax Number :
Provider Business Practice Location Address
First Line : 9894 BISSONNET ST STE 290
Second Line :
City : HOUSTON
State : TX
Zip : 77036-8285
Country : US
Telephone Number : 832-605-1927
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SABINE DALLEMAND
Credential : RN
Telephone Number : 832-605-1927
Provider Enumeration Date : 04/17/2025
Last Update Date : 05/20/2025

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Directions to “LEAPFAITH ” Practice Location

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