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General NPI Number Information
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NPI Number | 1194611954
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Entity Type | Organization
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Legal Business Name | HIGHER HOPE MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 610 SOUTH ST
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City | GREEN LAKE
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State | WI
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Zip | 54941-9496
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Country | US
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Telephone | 920-764-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 805 STATE ST
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City | RIPON
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State | WI
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Zip | 54971-1433
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Country | US
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Telephone | 920-638-3557
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Fax |
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Authorized Official
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Title or Position | PMHNP-C
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Name | KELLIE ELIZABETH HELMER
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Credential | MSN, APNP, PMHNP-C
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Telephone | 920-638-3557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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