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General NPI Number Information
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NPI Number | 1609753441
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Entity Type | Organization
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Legal Business Name | FERGUSON BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 30 N MILL ST # B
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City | NEW CASTLE
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State | PA
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Zip | 16101-3610
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Country | US
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Telephone | 724-982-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 HANOVER ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-4258
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Country | US
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Telephone | 330-907-4391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY L FERGUSON
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Credential |
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Telephone | 330-907-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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