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General NPI Number Information
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NPI Number | 1063036770
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Entity Type | Organization
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Legal Business Name | IDEAL MENTAL HEALTH AND WELLNESS CARE, LLC.
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 600 STEWART ST STE 400
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City | SEATTLE
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State | WA
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Zip | 98101-1217
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Country | US
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Telephone | 888-599-4554
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Fax | 206-331-3189
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Provider Business Mailing Address
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Address Line | 8815 CONROY WINDERMERE RD UNIT 614
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City | ORLANDO
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State | FL
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Zip | 32835-3129
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Country | US
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Telephone | 888-599-4554
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Fax | 206-331-3189
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVIECA D SINGH
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Credential |
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Telephone | 888-599-4554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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