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General NPI Number Information
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NPI Number | 1649678665
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Entity Type | Organization
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Legal Business Name | STONEHAVEN BEHAVIORAL HEALTH AND WELLNESS, INC
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 16135 HIGHWAY 71 S
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City | GREENWOOD
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State | AR
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Zip | 72936-7218
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Country | US
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Telephone | 479-996-5433
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Fax | 479-996-0438
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | GREENWOOD
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State | AR
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Zip | 72936-0057
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Country | US
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Telephone | 479-996-5433
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COLLEEN JANE ATCHLEY
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Credential | DNP, APRN
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Telephone | 479-221-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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