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General NPI Number Information
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NPI Number | 1497626063
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Entity Type | Organization
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Legal Business Name | TRUST BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 8715 MONTCLAIR HILLS DR
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City | CUMMING
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State | GA
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Zip | 30028-3075
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Country | US
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Telephone | 678-341-0814
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Fax |
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Provider Business Mailing Address
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Address Line | 8715 MONTCLAIR HILLS DR # A
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City | CUMMING
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State | GA
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Zip | 30028-3075
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Country | US
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Telephone | 678-341-0814
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NP
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Name | MRS. JULIE PEFANIS
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Credential | PMHNP-BC
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Telephone | 770-356-1476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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