Active NPI
Sagacious Beauty LLC.
Doing business as Sagacious Beauty
- Prosthetics Case Management
- Houston, TX
National Provider Identifier
1740961424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Legal business name
- SAGACIOUS BEAUTY LLC.
- Doing business as
- Sagacious Beauty
Sagacious Medical Wellness - Practice address
- 16770 Imperial Valley Dr Ste 125E
Houston, TX 77060-3427 - Phone
- (832) 264-5293
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 2023
- Organization subpart
- Yes
- Parent organization
- SAGACIOUS BEAUTY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- June Williams Fuller
- Title
- Case Manager
- Phone
- (832) 264-5293
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Prosthetics Case Management | 1744P3200X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
16770 Imperial Valley Dr Ste 125E
Houston, TX 77060-3427
Mailing address
PO Box 2063
Humble, TX 77347-2063
Phone (346) 803-6955
Other names 2
- SAGACIOUS BEAUTY
- Sagacious Medical Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1740961424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2063",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773472063",
"telephone_number": "346-803-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16770 IMPERIAL VALLEY DR STE 125E",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603427",
"telephone_number": "832-264-5293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGACIOUS BEAUTY LLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAGACIOUS BEAUTY LLC",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "JUNE",
"authorized_official_middle_name": "WILLIAMS",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "832-264-5293"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAGACIOUS BEAUTY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sagacious Medical Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.