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General NPI Number Information
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NPI Number | 1578092284
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Entity Type | Organization
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Legal Business Name | BLUESPRING BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1313 OAK VALLEY DR
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7412
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Country | US
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Telephone | 615-881-1203
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Fax | 866-936-1472
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Provider Business Mailing Address
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Address Line | 1313 OAK VALLEY DR
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7412
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Country | US
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Telephone | 615-881-1203
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Fax | 866-936-1472
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. LISA DIONNE FOX
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Credential | M. ED., BCBA
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Telephone | 615-881-1203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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