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General NPI Number Information
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NPI Number | 1114707155
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Entity Type | Organization
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Legal Business Name | SEASONS OF WELLNESS
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 115 E AURORA RD UNIT 4
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City | NORTHFIELD
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State | OH
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Zip | 44067-2099
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Country | US
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Telephone | 216-347-8498
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Fax |
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Provider Business Mailing Address
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Address Line | 675 ALPHA DR STE G
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City | HIGHLAND HEIGHTS
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State | OH
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Zip | 44143-2139
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Country | US
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Telephone | 216-347-8498
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARA FORTE-SULLEN
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Credential | PMHNP
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Telephone | 216-347-8498
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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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