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General NPI Number Information
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NPI Number | 1174415442
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Entity Type | Organization
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Legal Business Name | BLUE MIST PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 1864 TACOMA WAY
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City | DENVER
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State | NC
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Zip | 28037-1454
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Country | US
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Telephone | 704-480-3693
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Fax | 704-703-6149
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Provider Business Mailing Address
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Address Line | 1864 TACOMA WAY
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City | DENVER
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State | NC
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Zip | 28037-1454
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Country | US
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Telephone | 704-480-3693
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Fax | 704-703-6149
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JULISSA CORONA
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Credential | LCSW
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Telephone | 610-841-6081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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