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General NPI Number Information
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NPI Number | 1114889268
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Entity Type | Organization
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Legal Business Name | HEART TO MIND MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2301 TIMBERLINE CT
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City | RUSTON
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State | LA
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Zip | 71270-5276
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Country | US
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Telephone | 318-245-5007
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Fax | 318-228-8127
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Provider Business Mailing Address
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Address Line | PO BOX 261
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City | QUITMAN
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State | LA
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Zip | 71268-0261
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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 | RCM SPECIALIST
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Name | HOLLEY IRVIN
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Credential |
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Telephone | 318-308-0925
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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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