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NPI 1194522938

NPI 1194522938 : DIAMOND BEHAVIORAL HEALTH TALLAHASSEE LLC : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1194522938
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    Entity Type          |    Organization 
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    Legal Business Name  |    DIAMOND BEHAVIORAL HEALTH TALLAHASSEE LLC 
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Dates
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    Enumeration Date     |    02/28/2025
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    2767 RAYMOND DIEHL RD 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32309-3522
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    Country              |    US
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    Telephone            |    772-812-9652
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    Fax                  |    833-535-0164
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Provider Business Mailing Address
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    Address Line         |    2767 RAYMOND DIEHL RD 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32309-3522
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    Country              |    US
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    Telephone            |    772-812-9652
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    Fax                  |    833-535-0164
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ADAM  MULTZ 
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    Credential           |    
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    Telephone            |    844-909-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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