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General NPI Number Information
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NPI Number | 1316853336
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Entity Type | Organization
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Legal Business Name | EMB3 BEHAVIORAL HEALTH GROUP
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 160 CLAIREMONT AVE STE 200
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City | DECATUR
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State | GA
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Zip | 30030-2546
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Country | US
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Telephone | 404-433-5406
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Fax |
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Provider Business Mailing Address
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Address Line | 4047 HAVERHILL DR NE
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City | ATLANTA
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State | GA
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Zip | 30342-3815
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Country | US
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Telephone | 404-433-5406
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | QUINCY PRESTON-CLARK
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Credential |
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Telephone | 404-433-5406
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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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