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General NPI Number Information
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NPI Number | 1235018854
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Entity Type | Organization
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Legal Business Name | MENTELE HEALTH LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3417 S 1000 W
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City | MAPLETON
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State | UT
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Zip | 84664-4918
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Country | US
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Telephone | 208-860-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 3417 S 1000 W
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City | MAPLETON
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State | UT
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Zip | 84664-4918
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Country | US
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Telephone | 208-860-9370
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM HANSEN
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Credential | LCPC, CMHC
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Telephone | 208-860-9370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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