# PARIAH VENTURES GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023972270
- **Authorized official:** MRS. LAKEISHA YVETTE MOORE LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (979) 661-1213

## Contact information

- **Practice address:** 702 W STATE HIGHWAY 71 \# 1015, BASTROP, TX 78602-4029
- **Practice address phone:** (979) 505-9174
- **Practice address fax:** (855) 945-3878
- **Mailing address:** 702 W STATE HIGHWAY 71 \# 1015, BASTROP, TX 78602-4029
- **Mailing address phone:** (979) 505-9174
- **Mailing address fax:** (855) 945-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 12/12/2025