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General NPI Number Information
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NPI Number | 1851312045
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Entity Type | Organization
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Legal Business Name | LYTLE BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 S MONTGOMERY ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1738
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Country | US
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Telephone | 814-696-3277
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Fax | 814-695-5307
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Provider Business Mailing Address
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Address Line | 15 S MONTGOMERY ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1738
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Country | US
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Telephone | 814-696-3277
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Fax | 814-695-5307
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Authorized Official
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Title or Position | OWNER CHAIRMAN CEO
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Name | STEVEN E LYTLE
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Credential |
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Telephone | 814-696-3277
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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 | PA
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