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General NPI Number Information
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NPI Number | 1255268116
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Entity Type | Organization
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Legal Business Name | CHANGING MINDS PSYCHIATRY AND BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 7736 MADISON BLVD STE 310
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City | HUNTSVILLE
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State | AL
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Zip | 35806-3612
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Country | US
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Telephone | 256-466-9572
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Fax |
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Provider Business Mailing Address
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Address Line | 18278 E LIMESTONE RD
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City | ATHENS
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State | AL
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Zip | 35613-5549
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Country | US
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Telephone | 256-466-9572
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TIFFANY LAWRENCE JOHNSON
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Credential | PMHNP-BC
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Telephone | 256-466-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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