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General NPI Number Information
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NPI Number | 1275409468
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Entity Type | Organization
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Legal Business Name | HARMONY BEHAVIORAL HEALTH LLC.
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 8484 WANN DR NW STE B
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City | MADISON
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State | AL
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Zip | 35758-9545
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Country | US
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Telephone | 256-469-1446
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Fax | 256-469-1448
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Provider Business Mailing Address
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Address Line | 8484 WANN DR NW STE B
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City | MADISON
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State | AL
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Zip | 35758-9545
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Country | US
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Telephone | 256-469-1446
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Fax | 256-469-1448
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Authorized Official
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Title or Position | OWNER, AUTHORIZED OFFICIAL
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Name | DR. THEODROS MENGESHA
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Credential | M.D.
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Telephone | 256-469-1446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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