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General NPI Number Information
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NPI Number | 1508792086
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Entity Type | Organization
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Legal Business Name | LIMINAL PSYCHIATRY,LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 108 W 39TH ST RM 1006
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City | NEW YORK
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State | NY
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Zip | 10018-8265
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Country | US
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Telephone | 332-296-4649
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Fax |
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Provider Business Mailing Address
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Address Line | 5 SUNSET DR
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City | ANNISTON
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State | AL
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Zip | 36207-7607
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Country | US
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Telephone | 332-296-4649
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | SHELLEY PADGETT
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Credential | PMHNP-BC
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Telephone | 332-296-4649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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