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General NPI Number Information
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NPI Number | 1336901842
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Entity Type | Organization
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Legal Business Name | THE FERN BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1415 LAKEWOOD AVE
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City | LIMA
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State | OH
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Zip | 45805-3345
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Country | US
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Telephone | 567-588-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 LAKEWOOD AVE
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City | LIMA
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State | OH
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Zip | 45805-3345
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Country | US
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Telephone | 567-588-0220
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ASHLEY CRITELLI
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Credential | LISW-S
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Telephone | 773-920-8675
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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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