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General NPI Number Information
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NPI Number | 1699694059
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Entity Type | Organization
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Legal Business Name | FORGE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 134 N BROADWAY ST
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City | GEORGETOWN
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State | KY
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Zip | 40324-1302
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Country | US
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Telephone | 859-433-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 2773 KEARNEY CREEK LN
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City | LEXINGTON
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State | KY
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Zip | 40511-8685
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Country | US
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Telephone | 859-433-1913
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT ACKER
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Credential |
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Telephone | 859-433-1913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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