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General NPI Number Information
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NPI Number | 1134554264
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Entity Type | Organization
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Legal Business Name | CLEARVIEW BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 1302 NOBLE ST SUITE 2-G
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City | ANNISTON
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State | AL
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Zip | 36201-4693
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Country | US
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Telephone | 256-770-7337
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Fax | 256-770-7344
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Provider Business Mailing Address
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Address Line | 1302 NOBLE ST SUITE 2-G
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City | ANNISTON
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State | AL
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Zip | 36201-4693
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Country | US
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Telephone | 256-770-7337
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Fax | 256-770-7344
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Authorized Official
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Title or Position | COUNSELOR/DIRECTOR
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Name | MR. ERIC B. AVERETTE
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Credential | LCSW
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Telephone | 256-770-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2076C
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License Number State | AL
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