Organization
SAGACIOUS BEAUTY LLC.
Active
Parent organization
SAGACIOUS BEAUTY LLC
Other names
SAGACIOUS BEAUTY, Sagacious Medical Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAGACIOUS BEAUTY LLC
Authorized official
JUNE WILLIAMS FULLER (CASE MANAGER)
(832) 264-5293
Entity
Organization
Contact information
Practice address
16770 IMPERIAL VALLEY DR STE 125E, HOUSTON, TX 77060-3427
(832) 264-5293
Mailing address
PO BOX 2063, HUMBLE, TX 77347-2063
(346) 803-6955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1744P3200X
Prosthetics Case Management
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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