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General NPI Number Information
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NPI Number | 1992619506
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Entity Type | Organization
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Legal Business Name | STILLWATER BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 1445 COLE RD
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City | CARNESVILLE
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State | GA
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Zip | 30521-4256
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Country | US
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Telephone | 706-498-6239
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 COLE RD
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City | CARNESVILLE
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State | GA
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Zip | 30521-4256
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Country | US
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Telephone | 706-498-6239
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Fax |
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Authorized Official
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Title or Position | OWNER & EXECUTIVE DIRECTOR
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Name | KATLYN KESLER
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Credential |
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Telephone | 706-498-6239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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