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General NPI Number Information
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NPI Number | 1013809938
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Entity Type | Organization
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Legal Business Name | PSYMIND PSYCHOLOGICAL WELLNESS, LLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2100 ASHLEY OAKS CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6416
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Country | US
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Telephone | 813-355-9385
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 ASHLEY OAKS CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6416
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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/MANAGING MEMBER
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Name | DR. MARILYN PARADOA
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Credential | PSYD
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Telephone | 813-355-9385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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