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General NPI Number Information
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NPI Number | 1497502504
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Entity Type | Organization
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Legal Business Name | NATIONAL BEHAVIORAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 200 S WENONA ST STE 195
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City | BAY CITY
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State | MI
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Zip | 48706-8820
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Country | US
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Telephone | 713-448-9918
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Fax | 313-583-7002
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Provider Business Mailing Address
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Address Line | 835 LOUISA ST STE 205
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City | LANSING
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State | MI
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Zip | 48911-5200
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Country | US
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Telephone | 313-497-2665
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. FARZANA ISLAM
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Credential | M.ED. QBHP
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Telephone | 713-448-9918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 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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Taxonomy #3
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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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