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General NPI Number Information
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NPI Number | 1043008139
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Entity Type | Organization
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Legal Business Name | TONYA'S MENTALITY
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 612 VERT DR
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-6808
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Country | US
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Telephone | 337-322-8292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 73
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-0073
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Country | US
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Telephone | 337-858-2712
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | TONYA CAPTERVILLE
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Credential | APRN
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Telephone | 337-858-2712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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