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General NPI Number Information
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NPI Number | 1063545176
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Entity Type | Organization
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Legal Business Name | SOUTHAMPTON BEHAVIORAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 FAIRVIEW DR BLDG. 2, SUITE 200-B
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City | FRANKLIN
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State | VA
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Zip | 23851-1238
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Country | US
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Telephone | 757-569-0007
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Fax | 757-569-0011
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Provider Business Mailing Address
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Address Line | PO BOX 633
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City | FRANKLIN
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State | VA
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Zip | 23851-0633
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Country | US
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Telephone | 757-569-0007
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Fax | 757-569-0011
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Authorized Official
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Title or Position | OWNER
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Name | MR. WAYNE G. REED, JR.
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Credential | LPC
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Telephone | 757-569-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701003254
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3450
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101050005
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License Number State | VA
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