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General NPI Number Information
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NPI Number | 1437006475
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Entity Type | Organization
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Legal Business Name | BCJ HOPE AND HEALING MINDS, LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 2434 ELLSWORTH DR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-2004
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Country | US
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Telephone | 931-218-3018
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 ELLSWORTH DR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-2004
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Country | US
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Telephone | 931-218-3018
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Fax |
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Authorized Official
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Title or Position | SENIOR PSYCHOLOGICAL EXAMINER
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Name | GLENN C JOHNSON
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Credential | PSYD
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Telephone | 615-218-3018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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