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General NPI Number Information
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NPI Number | 1437299179
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Entity Type | Organization
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Legal Business Name | GADSDEN PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 715 WALNUT ST
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City | GADSDEN
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State | AL
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Zip | 35901-4138
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Country | US
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Telephone | 256-543-1544
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Fax | 256-543-1508
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Provider Business Mailing Address
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Address Line | 715 WALNUT ST
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City | GADSDEN
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State | AL
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Zip | 35901-4138
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Country | US
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Telephone | 256-543-1544
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Fax | 256-543-1508
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Authorized Official
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Title or Position | PSYCHOLOGIST MANAGER
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Name | JUNE ALLEN NICHOLS
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Credential | PSYD
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Telephone | 256-543-1544
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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 | 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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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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