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General NPI Number Information
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NPI Number | 1376482497
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Entity Type | Organization
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Legal Business Name | NORTHERN LIGHTS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 4321 W COLLEGE AVE STE 200
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City | APPLETON
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State | WI
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Zip | 54914-3968
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Country | US
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Telephone | 920-215-1645
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Fax |
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Provider Business Mailing Address
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Address Line | W2306 KHLOE LN
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City | FREEDOM
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State | WI
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Zip | 54913-2726
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Country | US
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Telephone | 920-215-1645
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Fax |
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Authorized Official
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Title or Position | OWNER, MENTAL HEALTH THERAPIST
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Name | EMILY M HOCH
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Credential | MSW, CAPSW, CSAC
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Telephone | 920-215-1645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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