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General NPI Number Information
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NPI Number | 1699563866
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Entity Type | Organization
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Legal Business Name | APPRAISE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 537 E INDIANA AVE
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City | SOUTH BEND
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State | IN
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Zip | 46613-2634
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Country | US
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Telephone | 574-310-4014
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Fax | 574-807-0888
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Provider Business Mailing Address
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Address Line | 537 E INDIANA AVE
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City | SOUTH BEND
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State | IN
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Zip | 46613-2634
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Country | US
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Telephone | 574-310-4014
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CLINICAL DIRECTOR
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Name | SHANTI BRADLEY
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Credential | M.ED., MBA, BCBA
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Telephone | 574-310-4014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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