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General NPI Number Information
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NPI Number | 1215554779
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Entity Type | Organization
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Legal Business Name | ANEW BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 400 E STATE ST STE D
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City | ATHENS
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State | OH
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Zip | 45701-1870
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Country | US
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Telephone | 866-534-2639
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Fax | 800-480-7578
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Provider Business Mailing Address
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Address Line | 372 WEST ST STE 102
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City | KEENE
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State | NH
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Zip | 03431-2412
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Country | US
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Telephone | 866-534-2639
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Fax | 800-480-7578
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KIMBERLY A HANDEGARD
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Credential |
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Telephone | 937-401-2594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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