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General NPI Number Information
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NPI Number | 1407730385
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Entity Type | Organization
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Legal Business Name | CUMBERLAND VALLEY BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 25 GAYLE AVE
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City | MONTICELLO
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State | KY
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Zip | 42633
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Country | US
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Telephone | 606-792-8136
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | PAINTSVILLE
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State | KY
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Zip | 41240-0247
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Country | US
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Telephone | 606-793-8136
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER RAY
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Credential |
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Telephone | 606-793-8136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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