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General NPI Number Information
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NPI Number | 1770295156
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Entity Type | Organization
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Legal Business Name | NAVA BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 1990 E LOHMAN AVE
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City | LAS CRUCES
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State | NM
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Zip | 88001-3172
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Country | US
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Telephone | 575-518-4011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1078
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City | LAS CRUCES
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State | NM
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Zip | 88004-1078
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Country | US
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Telephone | 575-518-4011
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Fax |
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Authorized Official
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Title or Position | INCORPORATOR
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Name | LEE KING
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Credential | DCC, LCSW
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Telephone | 575-518-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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