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General NPI Number Information
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NPI Number | 1841654639
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Entity Type | Organization
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Legal Business Name | LIVING STONES BEHAVIORAL HEALTH INC.
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 940 W OAKLAND AVE SUITE A9
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City | OAKLAND
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State | FL
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Zip | 34787-1802
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Country | US
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Telephone | 407-446-9814
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Fax | 407-540-9683
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Provider Business Mailing Address
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Address Line | 940 W OAKLAND AVE SUITE A9
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City | OAKLAND
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State | FL
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Zip | 34787-1802
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Country | US
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Telephone | 407-446-9814
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Fax | 407-540-9683
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERSKIN BELL
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Credential |
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Telephone | 407-446-9814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 12345
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12345
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 12345
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License Number State | FL
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Taxonomy #5
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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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License Number State | FL
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