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General NPI Number Information
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NPI Number | 1346030863
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Entity Type | Organization
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Legal Business Name | NULEASE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 5726 OUTER LOOP
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City | LOUISVILLE
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State | KY
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Zip | 40219-4156
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Country | US
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Telephone | 502-492-7455
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Fax | 502-921-0222
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Provider Business Mailing Address
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Address Line | 5722 OUTER LOOP
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City | LOUISVILLE
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State | KY
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Zip | 40219-4156
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Country | US
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Telephone | 615-568-7920
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Fax | 615-568-7920
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Authorized Official
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Title or Position | CEO
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Name | SHANNON CALES
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Credential |
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Telephone | 270-465-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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