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General NPI Number Information
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NPI Number | 1649074303
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Entity Type | Organization
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Legal Business Name | THERAPY UNFILTERED PLLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1260 US HIGHWAY 72 E STE B115
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City | ATHENS
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State | AL
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Zip | 35611-5136
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Country | US
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Telephone | 256-522-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 US HIGHWAY 72 E STE B115
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City | ATHENS
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State | AL
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Zip | 35611-5136
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Country | US
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Telephone | 256-522-7372
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEXSIS SHEA CASTEEL
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Credential | LICSW
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Telephone | 256-522-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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