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Organization
PROSPERITY IN HEALTH
Active
Organization
PROSPERITY IN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. URSULA DENISE BOYKINS LBSW (CLINICAL DIRECTOR)
(832) 343-5931
Entity
Organization
Contact information
Practice address
4903 RIDGE HARBOR DR, HOUSTON, TX 77053-5319
(832) 343-5931
Mailing address
3139 W HOLCOMBE BLVD, #173, HOUSTON, TX 77025-1505
(832) 343-5931
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159235402
—
TX
05
—
163938701
—
TX
05
—
164134201
—
TX
05
—
178043701
—
TX
Enumeration date
07/29/2008
Last updated
07/29/2008
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