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General NPI Number Information
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NPI Number | 1174434963
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Entity Type | Organization
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Legal Business Name | MINDFUL EXPRESSIONS LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 925 S COUNTRY CLUB DR STE A
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City | JEFFERSON CITY
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State | MO
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Zip | 65109-4510
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Country | US
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Telephone | 573-291-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 MICHAELS RD
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City | JEFFERSON CITY
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State | MO
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Zip | 65101-9799
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Country | US
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Telephone | 573-291-7772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIE MARIE HALE
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Credential | LMFT
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Telephone | 573-291-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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