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General NPI Number Information
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NPI Number | 1104788637
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Entity Type | Organization
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Legal Business Name | ANCHOR AND LIGHT BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 5398 SPRUCE MEADOWS CT
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City | MILFORD
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State | OH
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Zip | 45150-7509
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Country | US
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Telephone | 513-496-1413
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Fax |
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Provider Business Mailing Address
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Address Line | 8666 BEECHMONT AVE # 1027
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City | CINCINNATI
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State | OH
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Zip | 45255-4710
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Country | US
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Telephone | 513-496-1413
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Fax |
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Authorized Official
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Title or Position | DNP, APRN-CNP, PMHNP-BC
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Name | MRS. AMY TRENT
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Credential | DNP, APRN-CNP, PMHNP
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Telephone | 513-469-1413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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