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NPI 1437964830

NPI 1437964830 : STEERED STRAIGHT INC : MCMINNVILLE, TN

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General NPI Number Information
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    NPI Number           |    1437964830
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEERED STRAIGHT INC 
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Dates
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    Enumeration Date     |    02/12/2025
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    Last Update Date     |    03/22/2025
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Provider Practice Location Address
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    Address Line         |    113 NORTHGATE DR 
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    City                 |    MCMINNVILLE
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    State                |    TN
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    Zip                  |    37110-1454
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    Country              |    US
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    Telephone            |    931-271-8269
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    Fax                  |    615-410-7574
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Provider Business Mailing Address
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    Address Line         |    113 NORTHGATE DR 
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    City                 |    MCMINNVILLE
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    State                |    TN
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    Zip                  |    37110-1454
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    Country              |    US
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    Telephone            |    931-271-8269
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    Fax                  |    615-410-7574
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DARLA L DELEON 
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    Credential           |    LADAC
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    Telephone            |    856-690-8878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) 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        |    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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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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        |    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 #5
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    Taxonomy Code        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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