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General NPI Number Information
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NPI Number | 1396629879
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3704 E 3RD AVE
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City | TAMPA
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State | FL
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Zip | 33605-5833
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Country | US
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Telephone | 813-333-7269
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Fax |
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Provider Business Mailing Address
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Address Line | 6247 SEMINOLE BLVD STE 400
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City | SEMINOLE
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State | FL
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Zip | 33772-6883
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Country | US
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Telephone | 727-542-1989
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARGARET ROGERS
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Credential |
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Telephone | 727-542-1989
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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