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NPI Code Detail

MEDICARE: ASPIRE BEHAVIORAL HEALTH

MEDICARE: ASPIRE BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1679204515
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 500 N MAIN ST STE 620
Second Line :
City : ROSWELL
State : NM
Zip : 88201-4767
Country : US
Telephone Number : 440-536-2041
Fax Number :
Provider Business Practice Location Address
First Line : 1530 WILSON BLVD STE 650
Second Line :
City : ARLINGTON
State : VA
Zip : 22209-2455
Country : US
Telephone Number : 440-536-2041
Fax Number :
Authorized Official
Title or Position : MD
Name : SHEETAL JOSHI
Credential : MD
Telephone Number : 440-536-2041
Provider Enumeration Date : 06/21/2022
Last Update Date : 11/21/2022

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Directions to “ASPIRE BEHAVIORAL HEALTH ” Practice Location

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