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Individual

BRIGETTE NICOLE WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QIDP

Contact information

Practice address
23642 CROSSWORTH DR, NEW CANEY, TX 77357-1758
(346) 313-4125
Mailing address
23642 CROSSWORTH DR, NEW CANEY, TX 77357-1758
(409) 519-1828

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
174200000X
Meals Provider
251B00000X
Case Management Agency
Primary
310400000X
Assisted Living Facility
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/20/2023
Last updated
05/06/2025
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