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General NPI Number Information
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NPI Number | 1215802624
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4 PLEASANT DR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-8606
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Country | US
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Telephone | 919-918-0534
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Fax | 919-913-9112
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Provider Business Mailing Address
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Address Line | 4 PLEASANT DR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-8606
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Country | US
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Telephone | 919-918-0534
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Fax | 919-913-9112
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Authorized Official
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Title or Position | PRACTITIONER/PROPRIETOR
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Name | MR. JOHN MAURICE BRION
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Credential | PHD, PMHNP-BC
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Telephone | 919-918-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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