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General NPI Number Information
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NPI Number | 1790634913
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Entity Type | Organization
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Legal Business Name | ATANA BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3100 W CENTRAL AVE STE 150
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City | TOLEDO
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State | OH
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Zip | 43606-2919
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Country | US
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Telephone | 419-326-5090
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Fax | 419-778-3533
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Provider Business Mailing Address
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Address Line | 3100 W CENTRAL AVE STE 150
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City | TOLEDO
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State | OH
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Zip | 43606-2919
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Country | US
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Telephone | 419-326-5090
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Fax | 419-778-3533
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Authorized Official
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Title or Position | CEO/CLINICAL DIRECTOR
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Name | JASMINE CRENSHAW
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Credential | MSW, LISW-S
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Telephone | 419-326-5090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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