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General NPI Number Information
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NPI Number | 1124941604
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Entity Type | Organization
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Legal Business Name | UNBOUND MENTAL WELLNESS LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 20234 POND APPLE LN
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City | TAMPA
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State | FL
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Zip | 33647-3489
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Country | US
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Telephone | 239-297-8807
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Fax |
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Provider Business Mailing Address
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Address Line | 19046 BRUCE B DOWNS BLVD # 1535
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City | TAMPA
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State | FL
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Zip | 33647-2434
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Country | US
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Telephone | 239-297-8807
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | TIFFANY NICOLE MCDONALD
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Credential | APRN
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Telephone | 239-297-8807
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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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