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General NPI Number Information
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NPI Number | 1518591353
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Entity Type | Organization
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Legal Business Name | ADVANCED BEHAVIORAL WELLNESS
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3401 WESTOVER DR STE 1-2
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City | DANVILLE
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State | VA
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Zip | 24541-5469
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Country | US
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Telephone | 434-207-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 WESTOVER DR STE 1-2
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City | DANVILLE
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State | VA
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Zip | 24541-5469
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Country | US
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Telephone | 434-207-2329
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ALEXANDRIA MCINTOSH
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Credential | NP
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Telephone | 434-207-2329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural 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 | 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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