# TH3 EXP3RIENCE LLC

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

## Provider details

- **NPI number:** 1861301822
- **Authorized official:** MS. LAKISHA MONIQUE HOOPER BS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (346) 419-7424

## Contact information

- **Practice address:** 21427 WALDENBURG PL, TOMBALL, TX 77375-2393
- **Practice address phone:** (346) 419-7424
- **Mailing address:** 21427 WALDENBURG PL, TOMBALL, TX 77375-2393
- **Mailing address phone:** (346) 419-7424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/04/2026
- **Last updated:** 09/04/2026