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General NPI Number Information
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NPI Number | 1437352945
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 515 YANCEY AVE
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City | SOUTH BOSTON
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State | VA
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Zip | 24592
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Country | US
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Telephone | 434-575-8255
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Fax | 434-572-1616
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Provider Business Mailing Address
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Address Line | 2082 OLD GRUBBY RD
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-6136
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Country | US
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Telephone | 434-575-8255
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Fax | 434-572-1616
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. JANE C ROSE
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Credential | LCSW
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Telephone | 434-575-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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