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General NPI Number Information
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NPI Number | 1295512838
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Entity Type | Organization
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Legal Business Name | FEEL GOOD HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 7407 LIVE OAK MANOR CV
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-1294
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Country | US
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Telephone | 901-201-1473
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Fax |
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Provider Business Mailing Address
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Address Line | 5865 RIDGEWAY CENTER PKWY STE 300
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City | MEMPHIS
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State | TN
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Zip | 38120-4014
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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 | PMHNP-BC/ OWNER
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Name | ALLYSON STEWART
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Credential | APRN
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Telephone | 901-201-1473
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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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