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General NPI Number Information
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NPI Number | 1003763897
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Entity Type | Organization
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Legal Business Name | METANOIA BEHAVIORAL HEALTH CENTER, LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 3108 COUNTY ROAD 157
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City | ENTERPRISE
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State | AL
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Zip | 36330-7778
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Country | US
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Telephone | 334-766-1943
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 COUNTY ROAD 157
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City | ENTERPRISE
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State | AL
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Zip | 36330-7778
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Country | US
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Telephone | 334-766-1943
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | BETZAIDA LUNA
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Credential | LMFTA
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Telephone | 334-766-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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