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General NPI Number Information
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NPI Number | 1689692402
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Entity Type | Organization
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Legal Business Name | HMIH CEDAR CREST, LLC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3500 S INTERSTATE 35
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City | BELTON
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State | TX
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Zip | 76513-9426
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Country | US
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Telephone | 254-939-2100
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Fax | 254-939-2334
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND SECRETARY
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Name | BRIAN P. FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 846369
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 008216
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License Number State | TX
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