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General NPI Number Information
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NPI Number | 1154284891
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Entity Type | Organization
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Legal Business Name | CEREVIA BEHAVIORAL HEALTH GROUP LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 225 WESTCHESTER PIKE STE 200
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City | CHADDS FORD
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State | PA
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Zip | 19317
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Country | US
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Telephone | 610-203-4259
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Fax |
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Provider Business Mailing Address
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Address Line | 873 E BALTIMORE PIKE PMB 1103
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1864
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Country | US
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Telephone | 610-364-6856
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ANDREA STAHL
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Credential |
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Telephone | 610-364-6856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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