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General NPI Number Information
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NPI Number | 1073471876
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Entity Type | Organization
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Legal Business Name | CATOOSA BEHAVIORAL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 102 RBC DR
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City | RINGGOLD
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State | GA
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Zip | 30736-2787
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Country | US
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Telephone | 404-937-0561
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Fax | 404-937-0561
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Provider Business Mailing Address
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Address Line | 102 RBC DR
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City | RINGGOLD
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State | GA
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Zip | 30736-2787
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Country | US
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Telephone | 404-937-0561
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Fax | 404-937-0561
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | LUD HARRIS
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Credential | PMHNP
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Telephone | 404-937-0561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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