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General NPI Number Information
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NPI Number | 1245167543
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Entity Type | Organization
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Legal Business Name | VICTORY VILLAGE MENTAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 1041 N DUPONT HWY # 1682
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City | DOVER
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State | DE
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Zip | 19901-2006
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Country | US
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Telephone | 838-368-2111
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Fax | 240-332-4586
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Provider Business Mailing Address
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Address Line | 1041 N DUPONT HWY # 1682
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City | DOVER
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State | DE
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Zip | 19901-2006
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Country | US
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Telephone | 838-368-2111
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Fax | 240-332-4586
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | VICTORIA A NELSON-LARYEA
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Credential | PMHNP
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Telephone | 838-368-2111
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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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