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General NPI Number Information
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NPI Number | 1225916901
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Entity Type | Organization
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Legal Business Name | HOLISTICALLY YOU MENTAL WELLNESS SERVICES
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 6415 POLLARD ST APT 9
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City | LOS ANGELES
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State | CA
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Zip | 90042-2856
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Country | US
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Telephone | 240-210-6479
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Fax | 213-835-4717
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Provider Business Mailing Address
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Address Line | 6415 POLLARD ST APT 9
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City | LOS ANGELES
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State | CA
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Zip | 90042-2856
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Country | US
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Telephone | 240-210-6479
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. KENYA SMITH
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Credential | PMHNP-BC
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Telephone | 213-835-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #2
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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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