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General NPI Number Information
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NPI Number | 1730062985
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Entity Type | Organization
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Legal Business Name | BRIGHTPATH BEHAVIORAL & WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3409 N HOLLAND SYLVANIA RD STE 9
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City | TOLEDO
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State | OH
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Zip | 43615-1405
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Country | US
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Telephone | 419-283-0896
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 SADDLEBROOK CT
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City | TOLEDO
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State | OH
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Zip | 43615-7356
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Country | US
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Telephone | 419-283-0896
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Fax |
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Authorized Official
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Title or Position | APRN-CNP
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Name | CAMILLE COMBS
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Credential | MSN, PMHNP-BC
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Telephone | 419-283-0986
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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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