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General NPI Number Information
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NPI Number | 1710820451
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Entity Type | Organization
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Legal Business Name | STREAMS OF HOPE BEHAVIORAL HEALTH & WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 17 S OAK AVE
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City | ALDAN
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State | PA
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Zip | 19018-3724
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Country | US
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Telephone | 267-355-4808
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Fax |
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Provider Business Mailing Address
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Address Line | 216 BRAKEL LN
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City | MEDIA
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State | PA
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Zip | 19063-5920
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENEBA K SAWANEH
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Credential |
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Telephone | 267-355-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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