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General NPI Number Information
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NPI Number | 1235724238
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Entity Type | Organization
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Legal Business Name | MISSION BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 3479 COUNTY ROAD 94
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City | FLORENCE
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State | AL
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Zip | 35634-4845
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Country | US
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Telephone | 256-698-0135
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Fax |
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Provider Business Mailing Address
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Address Line | 3479 COUNTY ROAD 94
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City | FLORENCE
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State | AL
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Zip | 35634-4845
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Country | US
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Telephone | 256-698-0135
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. RICHARD WADE MENEFEE
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Credential | NP
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Telephone | 256-278-0569
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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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