1043016389 NPI number — ADJUVANT BEHAVIORAL HEALTH INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043016389 NPI number — ADJUVANT BEHAVIORAL HEALTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADJUVANT BEHAVIORAL HEALTH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043016389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11754 JOLLYVILLE RD STE 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78759-3948
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-912-2746
Provider Business Mailing Address Fax Number:
800-420-2305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
211 N UNION ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22314-2643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-912-2746
Provider Business Practice Location Address Fax Number:
800-420-2305
Provider Enumeration Date:
02/19/2025

Additional Information

Authorized Official

Authorized Official Last Name:
MYERS
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CONTRACT CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
866-912-2746

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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