Pristine Advancements LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PRISTINE ADVANCEMENTS LLC

Practice address

425 McCaleb Rd
Montgomery, TX 77316-5219

Phone

(832) 797-8451

NPI assigned

Sep 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffani Dilworth

Title

Ceo

Phone

(832) 754-4342

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1295403442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 SAWDUST RD STE 153",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802215",
            "telephone_number": "832-754-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MCCALEB RD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773165219",
            "telephone_number": "832-797-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE ADVANCEMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-754-4342"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.