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General NPI Number Information
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NPI Number | 1417604265
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Entity Type | Organization
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Legal Business Name | NEW ERA MENTAL HEALTH LLC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 5005 42ND PL N
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City | BIRMINGHAM
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State | AL
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Zip | 35217-3132
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Country | US
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Telephone | 251-533-6643
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Fax | 205-530-1773
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Provider Business Mailing Address
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Address Line | 5005 42ND PL N
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City | BIRMINGHAM
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State | AL
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Zip | 35217-3132
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Country | US
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Telephone | 251-533-6643
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Fax | 205-530-1773
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Authorized Official
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Title or Position | CEO
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Name | EMMIT RAY ASHFORD SR.
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Credential | ALC
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Telephone | 205-530-1128
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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