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General NPI Number Information
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NPI Number | 1437865706
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Entity Type | Organization
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Legal Business Name | ADIEE BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 13530 EMMANUEL KING RD
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City | BEASLEY
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State | TX
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Zip | 77451
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Country | US
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Telephone | 832-841-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 EMILEE CT
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City | ROSENBERG
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State | TX
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Zip | 77471-2166
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DARRYL K HUMPHREY
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Credential |
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Telephone | 832-841-8921
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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