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General NPI Number Information
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NPI Number | 1457203184
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Entity Type | Organization
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Legal Business Name | PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 80 HIGHWAY 2227
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City | SOMERSET
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State | KY
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Zip | 42503-1562
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Country | US
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Telephone | 513-849-9331
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Fax |
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Provider Business Mailing Address
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Address Line | 80 HIGHWAY 2227
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City | SOMERSET
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State | KY
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Zip | 42503-1562
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Country | US
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Telephone | 513-849-9331
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ADDISYN R JENIA
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Credential |
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Telephone | 513-849-9331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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