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General NPI Number Information
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NPI Number | 1629819248
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH REIMAGINED LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 230 BEARDEN RD
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City | PELHAM
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State | AL
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Zip | 35124-1715
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Country | US
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Telephone | 205-358-7686
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Fax | 877-940-3057
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Provider Business Mailing Address
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Address Line | 230 BEARDEN RD
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City | PELHAM
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State | AL
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Zip | 35124-1715
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Country | US
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Telephone | 205-358-7686
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Fax | 877-940-3057
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Authorized Official
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Title or Position | CEO
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Name | DR. KARLI MARTIN
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Credential | PSYD
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Telephone | 205-358-7686
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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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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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