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General NPI Number Information
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NPI Number | 1689443053
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Entity Type | Organization
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Legal Business Name | CHILD & ADOLESCENT BEHAVIORAL SOLUTIONS LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 402 BERKSHIRE DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-1281
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Country | US
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Telephone | 216-789-3929
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Fax |
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Provider Business Mailing Address
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Address Line | 402 BERKSHIRE DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-1281
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Country | US
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Telephone | 216-789-3929
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURA KLESS
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Credential | APRN-BC, PMHCNS
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Telephone | 216-789-3929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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