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General NPI Number Information
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NPI Number | 1003742818
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Entity Type | Organization
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Legal Business Name | SENTINEL BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 731 THORNECREST CT
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City | JANESVILLE
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State | WI
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Zip | 53546-2055
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Country | US
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Telephone | 507-202-7196
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 MILTON AVE STE 168
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City | JANESVILLE
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State | WI
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Zip | 53545-0252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOSHUA HOLMES
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Credential | MSW, LCSW, LICSW
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Telephone | 651-442-1304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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