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General NPI Number Information
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NPI Number | 1922940485
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Entity Type | Organization
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Legal Business Name | IRONGATE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 2540 LILLIAN MILLER PKWY STE 100
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City | DENTON
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State | TX
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Zip | 76210-7215
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Country | US
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Telephone | 206-492-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 LILLIAN MILLER PKWY STE 100
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City | DENTON
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State | TX
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Zip | 76210-7215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE PORTER
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Credential |
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Telephone | 206-492-0723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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