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General NPI Number Information
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NPI Number | 1326938655
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Entity Type | Organization
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Legal Business Name | STILLWATERS RELATIONAL AND BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 75 CAVALIER BLVD STE 212
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City | FLORENCE
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State | KY
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Zip | 41042-3958
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Country | US
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Telephone | 513-339-6396
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CAVALIER BLVD STE 212
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City | FLORENCE
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State | KY
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Zip | 41042-3958
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Country | US
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Telephone | 513-339-6396
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL J BUSH
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Credential | MA, PHD, LPCC-S, NCC
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Telephone | 513-339-6396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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