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General NPI Number Information
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NPI Number | 1245092188
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Entity Type | Organization
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Legal Business Name | TRUETOSOUL MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 117 MAIN ST
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City | MILLSBORO
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State | DE
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Zip | 19966-8410
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Country | US
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Telephone | 302-889-1290
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 171
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City | DAGSBORO
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State | DE
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Zip | 19939-0171
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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 | CRNP-PMH, PMHNP
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Name | ELLEN MESHILEYA
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Credential | CRNP-PMH, PMHNP
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Telephone | 301-538-5113
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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 |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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