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General NPI Number Information
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NPI Number | 1023186160
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Entity Type | Organization
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Legal Business Name | APALACHEE CENTER, INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 225 SUMATRA RD
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City | MADISON
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State | FL
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Zip | 32340-1435
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Country | US
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Telephone | 850-973-5124
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Fax |
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Provider Business Mailing Address
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Address Line | 275 JOHN KNOX RD APARTMENT L-103
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6614
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Country | US
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Telephone | 850-383-9876
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MR. JACK RICHARDSON
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Credential | LCSW
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Telephone | 850-523-3289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | SW 8374
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW 8374
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License Number State | FL
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