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General NPI Number Information
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NPI Number | 1770442501
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Entity Type | Organization
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Legal Business Name | BLUE HORIZON MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 155B BELLE FOREST CIR
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City | NASHVILLE
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State | TN
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Zip | 37221-2103
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Country | US
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Telephone | 951-216-3218
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Fax |
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Provider Business Mailing Address
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Address Line | 155B BELLE FOREST CIR
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City | NASHVILLE
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State | TN
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Zip | 37221-2103
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Country | US
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Telephone | 951-216-3218
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANDREW DAVID GONZALEZ
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Credential | LMFT
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Telephone | 951-223-1046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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