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General NPI Number Information
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NPI Number | 1023915592
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Entity Type | Organization
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Legal Business Name | EYECU MENTAL HEALTH COLLECTIVE
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Dates
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Enumeration Date | 10/20/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 1501 S GREELEY HWY STE C
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City | CHEYENNE
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State | WY
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Zip | 82007-3028
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Country | US
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Telephone | 478-465-4079
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 WASHINGTON AVE APT 202
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City | SAN LEANDRO
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State | CA
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Zip | 94577-5886
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Country | US
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Telephone | 478-318-6886
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN ESTHER CURRY
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Credential | PMHNP-BC
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Telephone | 478-318-6886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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