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General NPI Number Information
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NPI Number | 1578062741
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Entity Type | Organization
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Legal Business Name | ACRA BEHAVIORAL HEALTH & CONSULTING, LLC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 127 E COLLEGE ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2517
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Country | US
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Telephone | 334-417-0385
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Fax | 334-417-0386
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Provider Business Mailing Address
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Address Line | 127 E COLLEGE ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2517
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Country | US
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Telephone | 334-417-0385
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Fax | 334-417-0386
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. CAROLINE FRANCOISE ACRA
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Credential | PH.D.
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Telephone | 334-417-0385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2062
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License Number State | AL
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