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General NPI Number Information
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NPI Number | 1225869324
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Entity Type | Organization
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Legal Business Name | NACK BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 08/10/2024
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 2601 S FIGUEROA ST BLDG 1, FL 2
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City | LOS ANGELES
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State | CA
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Zip | 90007-3254
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Country | US
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Telephone | 804-229-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 S FIGUEROA ST, BLDG 1, FLR 2
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City | LOS ANGELES
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State | CA
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Zip | 90007-3254
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Country | US
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Telephone | 323-940-3616
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Fax | 424-276-0511
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | KYLE ADAMS
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Credential |
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Telephone | 323-940-3616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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