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Organization
PROSPERITY BEHAVIORAL CARE
Active
Organization
PROSPERITY BEHAVIORAL CARE
Active
Other names
PROSPERITY BEHAVIORAL, Prosperity Behavioral Care
Organization subpart
No
Provider details
NPI number
Authorized official
VANAVIA NAOMI RICHARDSON MBA (DIRECTOR)
(832) 775-5203
Entity
Organization
Contact information
Practice address
2646 S LOOP W STE 104, HOUSTON, TX 77054-2677
(832) 775-5203
(346) 223-1898
Mailing address
2646 S LOOP W STE 104, HOUSTON, TX 77054-2677
(832) 775-5203
(346) 223-1898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189407301
—
TX
Enumeration date
05/21/2007
Last updated
05/14/2019
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