Organization
POLKA DOT JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MICHELLE BRACEY (DIRECTOR)
(346) 229-7788
Entity
Organization
Contact information
Practice address
9902 TANGIERS RD, HOUSTON, TX 77041-7544
(346) 229-7788
Mailing address
9902 TANGIERS RD, HOUSTON, TX 77041-7544
(346) 229-7788
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/23/2024
Last updated
12/24/2025
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