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Organization

KICKNOWLEDGE EDUCATION & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TENESHA WILLIAMS (C0-OWNER)
(281) 774-8478
Entity
Organization

Contact information

Practice address
2401 FOUNTAIN VIEW DR # 2430, HOUSTON, TX 77057-4827
(832) 501-0997
Mailing address
2401 FOUNTAIN VIEW DR # 2430, HOUSTON, TX 77057-4827

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171400000X
Health & Wellness Coach
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
10/01/2021
Last updated
01/26/2022
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