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General NPI Number Information
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NPI Number | 1295557759
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Entity Type | Organization
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Legal Business Name | MENTAL WEALTH AND PROSPERITY, PLLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 207 W MILLBROOK RD STE 210
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City | RALEIGH
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State | NC
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Zip | 27609-4490
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Country | US
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Telephone | 919-505-8600
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Fax | 910-541-9025
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Provider Business Mailing Address
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Address Line | 207 W MILLBROOK RD STE 210
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City | RALEIGH
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State | NC
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Zip | 27609-4490
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Country | US
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Telephone | 919-505-8600
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Fax | 910-541-9025
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Authorized Official
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Title or Position | PMHNP
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Name | MR. RONALD PATTERSON
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Credential | NP
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Telephone | 984-664-2790
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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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