BACKTOLIFE360 NPI 1710855226

NPI Information

  • NPI: 1710855226
  • Provider Name: BACKTOLIFE360
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 7007 FALL CREEK LN
    MISSOURI CITY, TX
    ZIP 77459
  • Phone: (713) 478-1133

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NPI Details

BACKTOLIFE360 is a mental health counselor in Missouri City, TX. BACKTOLIFE360 NPI is 1710855226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7007 FALL CREEK LN
MISSOURI CITY, TX
ZIP 77459-578
Phone: (713) 478-1133

The provider's authorized official is Kimberly Kimbrough-edwards .
The authorized official title is Owner and has the following contact phone number (713) 478-1133.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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