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General NPI Number Information
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NPI Number | 1356745673
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH NAVIGATORS INC.
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4037 TAYLOR RD STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5500
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Country | US
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Telephone | 757-609-3677
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Fax | 757-299-4214
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Provider Business Mailing Address
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Address Line | 4037 TAYLOR RD STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5500
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Country | US
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Telephone | 757-609-3677
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Fax | 757-299-4214
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM TRAVIS JORDAN
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Credential | PSY.D.
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Telephone | 757-374-7297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004861
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License Number State | VA
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