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General NPI Number Information
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NPI Number | 1689471716
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Entity Type | Organization
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Legal Business Name | HUNTSVILLE EMOTIONAL WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 3315 MEMORIAL PKWY SW STE B
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5316
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Country | US
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Telephone | 205-577-7206
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Fax |
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Provider Business Mailing Address
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Address Line | 219 LONGWOOD DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5243
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Country | US
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Telephone | 256-265-6170
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA KLUG
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Credential |
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Telephone | 205-577-7206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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