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General NPI Number Information
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NPI Number | 1184542656
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Entity Type | Organization
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Legal Business Name | AVENWELL MENTAL HEALTH & WELLNESS, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 42055 50TH ST W STE 10
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City | QUARTZ HILL
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State | CA
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Zip | 93536-3520
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Country | US
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Telephone | 661-228-3710
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Fax |
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Provider Business Mailing Address
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Address Line | 42055 50TH ST W STE 10
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City | QUARTZ HILL
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State | CA
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Zip | 93536-3520
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Country | US
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Telephone | 661-228-3710
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & PMHNP
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Name | MRS. MICHELLE HARRISON
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Credential | PMHNP-BC
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Telephone | 510-681-3087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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