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General NPI Number Information
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NPI Number | 1871328997
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Entity Type | Organization
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Legal Business Name | NEW LEAF BEHAVIORAL HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/06/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 26513 SUSSEX DR
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City | OLMSTED FALLS
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State | OH
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Zip | 44138-2616
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Country | US
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Telephone | 216-650-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 26513 SUSSEX DR
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City | OLMSTED FALLS
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State | OH
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Zip | 44138-2616
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Country | US
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Telephone | 216-650-0207
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | DANIELLE N HOLMAN
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Credential | LISW
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Telephone | 216-650-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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