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General NPI Number Information
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NPI Number | 1306532536
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Entity Type | Organization
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Legal Business Name | THE BEHAVIORAL WEALTH INSTITUTE, LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1545 CROSSWAYS BLVD STE 250
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0218
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Country | US
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Telephone | 757-778-8168
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 CROSSWAYS BOULEVARD STE 250 - #6859
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0218
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Country | US
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Telephone | 757-778-8168
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UNIQUA ALEXANDER-BUNN
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Credential | PSYD
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Telephone | 757-309-3922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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