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NPI 1194552562

NPI 1194552562 : PRESENTMIND COUNSELING, LLC. : SAN TAN VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1194552562
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRESENTMIND COUNSELING, LLC. 
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Dates
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    Enumeration Date     |    09/18/2024
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    Last Update Date     |    09/18/2024
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Provider Practice Location Address
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    Address Line         |    36871 N EL MORRO TRL 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85140-7513
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    Country              |    US
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    Telephone            |    540-986-5699
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    85 W COMBS RD SUITE 101 #208 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85140
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CLINICIAN
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    Name                 |     JENNIFER  RAPPLEYE 
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    Credential           |    MS, LPC
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    Telephone            |    540-986-5699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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