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General NPI Number Information
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NPI Number | 1548083074
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Entity Type | Organization
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Legal Business Name | ASHWOOD MENTAL HEALTH LLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 231 CROWNE WOODS DRIVE
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City | HOOVER
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State | AL
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Zip | 35244
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Country | US
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Telephone | 205-739-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 60 CHELSEA CORS # 3020
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City | CHELSEA
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State | AL
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Zip | 35043-7401
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Country | US
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Telephone | 205-739-8088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONNA J BUSENLEHNER
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Credential | PMHNP
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Telephone | 205-739-8088
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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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