Renewed Purpose Llc | |
15210 Highway 3 Suite 105b Webster TX 77598-6716 | |
(281) 204-9299 | |
(281) 204-9114 |
Full Name | Renewed Purpose Llc |
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Speciality | Social Worker - Clinical |
Location | 15210 Highway 3, Webster, Texas |
Authorized Official Name and Position | Audrey Rose Morris (MANAING MEMBER) |
Authorized Official Contact | 2812049299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Renewed Purpose Llc 15210 Highway 3 Suite 105b Webster TX 77598-6716 Ph: (281) 204-9299 | Renewed Purpose Llc 15210 Highway 3 Suite 105b Webster TX 77598-6716 Ph: (281) 204-9299 |
NPI Number | 1396106167 |
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Provider Enumeration Date | 03/08/2016 |
Last Update Date | 03/08/2016 |
Identifier | Type | State | Issuer |
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1396106167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 33383 (Texas) | Primary |
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