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General NPI Number Information
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NPI Number | 1205784683
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Entity Type | Organization
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Legal Business Name | MENTARA BEHAVIORAL AND RECOVERY SERVICES
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 810 KIMBALL PL
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City | COLUMBUS
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State | OH
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Zip | 43205-2813
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Country | US
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Telephone | 614-258-2270
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Fax | 614-808-4695
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Provider Business Mailing Address
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Address Line | 2109 CLOVERFERN WAY
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City | HASLET
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State | TX
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Zip | 76052-1919
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Country | US
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Telephone | 614-258-2270
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Fax | 614-808-4695
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Authorized Official
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Title or Position | MENTAL HEALTH NURSE PRACTITIONER
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Name | DR. PATRICIA D BAILEY
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Credential | PMHNP-BC
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Telephone | 614-296-4941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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