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Organization
PARIAH VENTURES GROUP LLC
Active
Organization
PARIAH VENTURES GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKEISHA YVETTE MOORE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(979) 661-1213
Entity
Organization
Contact information
Practice address
702 W STATE HIGHWAY 71 # 1015, BASTROP, TX 78602-4029
(979) 505-9174
(855) 945-3878
Mailing address
702 W STATE HIGHWAY 71 # 1015, BASTROP, TX 78602-4029
(979) 505-9174
(855) 945-3878
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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