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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

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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