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General NPI Number Information
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NPI Number | 1306767769
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Entity Type | Organization
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Legal Business Name | MIDDLE GROUND MENTAL WELLNESS, LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 4000 EAGLE POINT CORPORATE DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6986
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Country | US
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Telephone | 205-855-2240
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Fax | 205-855-2340
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Provider Business Mailing Address
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Address Line | 274 GRANDE VIEW PKWY
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City | MAYLENE
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State | AL
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Zip | 35114-6073
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Country | US
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Telephone | 205-451-5995
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Fax |
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Authorized Official
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Title or Position | CRNP
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Name | MS. KATHERINE K THEURI
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Credential | NP
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Telephone | 205-451-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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