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NPI 1134023641

NPI 1134023641 : NEOPATHWELLNESS LLC : BIRMINGHAM, AL

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General NPI Number Information
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    NPI Number           |    1134023641
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEOPATHWELLNESS LLC 
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Dates
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    Enumeration Date     |    10/07/2026
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    Last Update Date     |    10/07/2026
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Provider Practice Location Address
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    Address Line         |    912 BELGRAVE COURT 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35242
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    Country              |    US
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    Telephone            |    205-202-0102
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    505 20TH ST N STE 1220 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35203-4606
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    Country              |    US
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    Telephone            |    205-202-0102
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JONATHAN  WILLIAMS 
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    Credential           |    LPC
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    Telephone            |    205-835-1146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    NULL
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