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General NPI Number Information
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NPI Number | 1598669400
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Entity Type | Organization
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Legal Business Name | NEOPATHWELLNESS LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 912 BELGRAVE CT
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City | SHOAL CREEK
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State | AL
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Zip | 35242-7273
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Country | US
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Telephone | 205-202-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 505 20TH ST N STE 1220
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City | BIRMINGHAM
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State | AL
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Zip | 35203-4606
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Country | US
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Telephone | 205-202-0102
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN WILLIAMS
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Credential | LPC
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Telephone | 205-202-0102
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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 | NULL
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