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General NPI Number Information
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NPI Number | 1770393423
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Entity Type | Organization
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Legal Business Name | SOTERIA BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 965 N LA BREA AVE FL 2
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City | INGLEWOOD
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State | CA
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Zip | 90302-2207
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Country | US
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Telephone | 310-672-6200
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Fax | 888-293-8686
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Provider Business Mailing Address
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Address Line | 965 N LA BREA AVE FL 2
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City | INGLEWOOD
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State | CA
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Zip | 90302-2207
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Country | US
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Telephone | 310-672-6200
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Fax | 888-293-8686
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Authorized Official
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Title or Position | COO
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Name | MR. CALVIN MYLES CARRERA
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Credential | MS
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Telephone | 910-691-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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