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General NPI Number Information
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NPI Number | 1124675160
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MIND INSTITUTE, LLC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 7750 CLAYTON RD STE 303
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1341
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Country | US
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Telephone | 314-489-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 CLAYTON RD STE 303
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1341
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Country | US
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Telephone | 314-489-4810
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. CHRISTINE SCHNEIDER
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Credential | PHD
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Telephone | 314-489-4810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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