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General NPI Number Information
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NPI Number | 1639966948
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Entity Type | Organization
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Legal Business Name | ADDINGTON MENTAL HEALTH GROUP, LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1660 OLD PECOS TRL STE D
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City | SANTA FE
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State | NM
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Zip | 87505-4768
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Country | US
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Telephone | 505-531-8363
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Fax | 505-531-8363
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Provider Business Mailing Address
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Address Line | 985 AGUA FRIA ST UNIT 115
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City | SANTA FE
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State | NM
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Zip | 87501-2446
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Country | US
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Telephone | 303-931-6415
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/PARTNER
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Name | CELENE MARGRET BRIDGFORD ADDINGTON
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Credential | LPCC
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Telephone | 303-931-6415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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