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General NPI Number Information
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NPI Number | 1255266623
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Entity Type | Organization
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Legal Business Name | AVENMIND HEALTH GROUP LLC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 10639 OAK MEADOW LN
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City | LAKE WORTH
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State | FL
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Zip | 33449-5457
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Country | US
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Telephone | 786-788-5080
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Fax | 786-788-5084
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Provider Business Mailing Address
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Address Line | 9314 FOREST HILL BLVD STE 896
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City | WELLINGTON
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State | FL
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Zip | 33411-6577
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Country | US
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Telephone | 786-788-5080
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Fax | 561-448-1149
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE COUYOUTE
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Credential |
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Telephone | 786-788-5080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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