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General NPI Number Information
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NPI Number | 1427803584
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Entity Type | Organization
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Legal Business Name | ASAYA BEHAVIORAL HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1704 ELM ST
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City | CINCINNATI
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State | OH
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Zip | 45202-7991
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Country | US
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Telephone | 513-531-1980
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Fax | 513-351-0720
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Provider Business Mailing Address
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Address Line | 1704 ELM ST
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City | CINCINNATI
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State | OH
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Zip | 45202-7991
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Country | US
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Telephone | 513-531-1980
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Fax | 513-351-0720
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LA'RISHA RONA'E JETER
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Credential | PMHNP
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Telephone | 513-531-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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