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General NPI Number Information
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NPI Number | 1497485106
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Entity Type | Organization
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Legal Business Name | ADJUVANT BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 11754 JOLLYVILLE RD STE 110
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City | AUSTIN
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State | TX
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Zip | 78759-3948
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Country | US
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Telephone | 866-912-2746
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Fax | 800-420-2305
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Provider Business Mailing Address
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Address Line | 11754 JOLLYVILLE RD STE 110
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City | AUSTIN
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State | TX
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Zip | 78759-3948
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Country | US
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Telephone | 866-912-2746
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA MICHAEL MYERS
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Credential |
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Telephone | 512-331-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 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 #5
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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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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 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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