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General NPI Number Information
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NPI Number | 1780423632
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Entity Type | Organization
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Legal Business Name | BALANCE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 118 E MOBILE ST
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City | FLORENCE
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State | AL
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Zip | 35630-4782
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Country | US
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Telephone | 256-648-5761
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Fax |
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Provider Business Mailing Address
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Address Line | 118 E MOBILE ST
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City | FLORENCE
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State | AL
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Zip | 35630-4782
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Country | US
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Telephone | 256-648-5761
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | VICTORIA HARGROVE
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Credential | NP
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Telephone | 256-648-5761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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