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General NPI Number Information
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NPI Number | 1134066053
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Entity Type | Organization
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Legal Business Name | INSIGHTFUL MINDS COUNSELING LLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 4400 BAYOU BLVD STE 34
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City | PENSACOLA
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State | FL
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Zip | 32503-2682
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Country | US
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Telephone | 850-275-9985
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 WITHERSPOON DR
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City | PRATTVILLE
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State | AL
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Zip | 36066-4701
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Country | US
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Telephone | 850-275-9985
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRA SHISHIDO
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Credential |
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Telephone | 850-530-8304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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