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General NPI Number Information
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NPI Number | 1023546967
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH RESPONSE, INC
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 5501 DELMAR BLVD STE B300
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City | SAINT LOUIS
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State | MO
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Zip | 63112-3078
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Country | US
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Telephone | 314-628-6205
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Fax | 314-469-0412
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Provider Business Mailing Address
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Address Line | 5501 DELMAR BLVD STE B300
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City | SAINT LOUIS
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State | MO
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Zip | 63112-3078
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Country | US
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Telephone | 314-814-7926
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Fax |
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Authorized Official
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Title or Position | HR & COMPLIANCE OFFICER
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Name | CHRIS SANDWELL
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Credential | MS, LPC, NCC, CCTP
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Telephone | 314-814-7926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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