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General NPI Number Information
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NPI Number | 1659235463
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Entity Type | Organization
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Legal Business Name | CROWN BEHAVIORAL HEALTH (SA)
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 4133 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-2951
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Country | US
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Telephone | 614-350-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 4133 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-2951
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Country | US
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Telephone | 614-350-0013
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CASEY BRIGHT
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Credential | CEO
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Telephone | 614-350-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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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 | 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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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 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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