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General NPI Number Information
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NPI Number | 1194629808
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Entity Type | Organization
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Legal Business Name | MINDFUL WELLNESS PSYCHIATRIC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 910 HICKORY LN
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City | JUNCTION CITY
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State | KS
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Zip | 66441-4829
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Country | US
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Telephone | 785-260-7753
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 W ASH ST # 1012
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City | JUNCTION CITY
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State | KS
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Zip | 66441-3600
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Country | US
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Telephone | 785-260-7753
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Fax |
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Authorized Official
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Title or Position | APRN,PMHNP-BC
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Name | ETHEL B AKONGNUI
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Credential | NP
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Telephone | 785-492-9791
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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 | NULL
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