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General NPI Number Information
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NPI Number | 1144196668
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Entity Type | Organization
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Legal Business Name | PSYCH CRISIS
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 310 1/2 1ST ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-6036
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Country | US
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Telephone | 530-599-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 310 1/2 1ST ST
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City | MARYSVILLE
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State | CA
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Zip | 95901-6036
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Country | US
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Telephone | 530-599-2200
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Fax |
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Authorized Official
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Title or Position | DISPATCHER
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Name | LASHIQUA DENAE DAVIS
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Credential |
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Telephone | 601-842-9246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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