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General NPI Number Information
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NPI Number | 1730752452
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Entity Type | Organization
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Legal Business Name | HIDDEN STRENGTH BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 17821 17TH ST STE 290
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City | TUSTIN
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State | CA
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Zip | 92780-2171
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Country | US
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Telephone | 949-237-0893
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Fax |
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Provider Business Mailing Address
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Address Line | 17821 17TH ST STE 290
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City | TUSTIN
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State | CA
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Zip | 92780-2171
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Country | US
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Telephone | 949-237-0893
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LORNA PHAM
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Credential | PSYD
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Telephone | 949-237-0893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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