| Journey Through Life Tx Llc | |
|
7151 Office City Dr Houston TX 77087 | |
| (919) 758-3082 | |
| (919) 809-8642 |
| Full Name | Journey Through Life Tx Llc |
|---|---|
| Speciality | Case Management |
| Location | 7151 Office City Dr, Houston, Texas |
| Authorized Official Name and Position | Marie N Laurent (CEO) |
| Authorized Official Contact | 9197583082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Through Life Tx Llc 5974 Myakka Ct Raleigh NC 27616-3265 Ph: (919) 758-3082 | Journey Through Life Tx Llc 7151 Office City Dr Houston TX 77087 Ph: (919) 758-3082 |
| NPI Number | 1316300908 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 07/17/2018 |
| Medicare PECOS PAC ID | 0749559367 |
|---|---|
| Medicare Enrollment ID | O20170712003792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316300908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (Texas) | Primary |
| Provider Name | Tanya D Malveaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164536629 PECOS PAC ID: 8426026410 Enrollment ID: I20040917000654 |
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