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General NPI Number Information
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NPI Number | 1407444128
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Entity Type | Organization
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Legal Business Name | BEYOND BEHAVIORAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3110 W CENTRAL AVE STE A
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City | TOLEDO
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State | OH
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Zip | 43606-2956
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Country | US
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Telephone | 419-309-3991
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Fax | 419-730-5557
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Provider Business Mailing Address
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Address Line | 1080 NIMITZVIEW DR STE 400
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City | CINCINNATI
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State | OH
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Zip | 45230-4332
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Country | US
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Telephone | 419-707-9116
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRANDON GOLDER
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Credential |
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Telephone | 888-380-1592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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