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General NPI Number Information
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NPI Number | 1427905421
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Entity Type | Organization
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Legal Business Name | SISTERS PURPOSE BEHAVIORAL HEALTH CLINIC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 9575 KY ROUTE 122 STE 7
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City | MC DOWELL
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State | KY
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Zip | 41647-6043
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Country | US
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Telephone | 606-359-0700
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Fax | 606-062-9318
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Provider Business Mailing Address
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Address Line | 9575 KY ROUTE 122 STE 7
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City | MC DOWELL
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State | KY
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Zip | 41647-6043
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Country | US
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Telephone | 606-359-0700
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Fax | 606-062-9318
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Authorized Official
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Title or Position | EXECUTIVE DIRECT
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Name | SAMANTHA JO STUMBO
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Credential | STUMBO
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Telephone | 606-949-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number State |
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