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General NPI Number Information
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NPI Number | 1265255269
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Entity Type | Organization
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Legal Business Name | RESTORATIVE MINDS & HEARTS LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1500 SHALLCROSS AVE RM 4
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City | WILMINGTON
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State | DE
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Zip | 19806-3037
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Country | US
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Telephone | 302-635-0307
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N KING ST STE 304
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City | WILMINGTON
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State | DE
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Zip | 19801-3549
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Country | US
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Telephone | 302-635-0307
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | NONI IFE TAYLOR
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Credential | LCSW
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Telephone | 302-332-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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