Individual
BEATRICE SOREMEKUN-JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1354 RAVENWOOD CT, CROWLEY, TX 76036-3472
(682) 553-3208
Mailing address
1354 RAVENWOOD CT, CROWLEY, TX 76036-3472
(682) 553-3208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
TX
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-4865224
—
TX
Enumeration date
03/28/2019
Last updated
12/27/2025
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