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General NPI Number Information
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NPI Number | 1285594879
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Entity Type | Organization
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Legal Business Name | PERSEVERE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 2308 PANSY ST SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3803
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Country | US
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Telephone | 256-533-4377
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Fax | 256-539-7874
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Provider Business Mailing Address
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Address Line | 2308 PANSY ST SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3803
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Country | US
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Telephone | 256-533-4377
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Fax | 256-539-7874
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Authorized Official
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Title or Position | PMHNP-BC
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Name | TIFFANI ELKOURIE
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Credential | CRNP
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Telephone | 256-533-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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