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General NPI Number Information
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NPI Number | 1407385263
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 2843 BROWNSBORO RD STE 202
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City | LOUISVILLE
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State | KY
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Zip | 40206-1281
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Country | US
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Telephone | 502-785-4610
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Fax | 502-785-4666
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Provider Business Mailing Address
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Address Line | 2843 BROWNSBORO RD STE 202
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City | LOUISVILLE
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State | KY
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Zip | 40206-1281
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Country | US
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Telephone | 502-384-7514
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Fax | 502-384-6539
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Authorized Official
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Title or Position | THERAPIST
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Name | ANNE-MARIE BROWN
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Credential | LCSW
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Telephone | 502-593-3095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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