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General NPI Number Information
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NPI Number | 1215869748
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Entity Type | Organization
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Legal Business Name | DEBRADY COUNSELING & WELLNESS
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1791 ORCHARD RD
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City | SHADY VALLEY
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State | TN
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Zip | 37688-5224
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Country | US
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Telephone | 423-484-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 1791 ORCHARD RD
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City | SHADY VALLEY
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State | TN
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Zip | 37688-5224
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Country | US
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Telephone | 423-484-8264
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DENISE DEBRADY
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Credential | LCSW
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Telephone | 423-484-8264
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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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