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General NPI Number Information
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NPI Number | 1487126272
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Entity Type | Organization
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Legal Business Name | IAC ASSOCIATES PLLC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 6401 POPLAR AVE STE 500
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City | MEMPHIS
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State | TN
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Zip | 38119-4808
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Country | US
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Telephone | 901-746-9438
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Fax | 941-746-9331
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Provider Business Mailing Address
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Address Line | 6101 W PLANO PKWY STE 230
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City | PLANO
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State | TX
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Zip | 75093-8373
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Country | US
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Telephone | 940-360-4245
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Fax |
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Authorized Official
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Title or Position | VP, RCM AND PAYOR RELATIONS
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Name | MELISSA A. BAILEY
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Credential |
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Telephone | 972-935-1409
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 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 #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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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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