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General NPI Number Information
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NPI Number | 1326725458
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Entity Type | Organization
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Legal Business Name | STOIC MINDS, PLLC
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 225 E REEDER ST RM 213
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City | DILLON
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State | MT
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Zip | 59725-2710
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Country | US
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Telephone | 406-506-8366
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1433
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City | DILLON
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State | MT
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Zip | 59725-1433
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Country | US
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Telephone | 406-506-8366
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | HALEY HICKOCK
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Credential | LCSW
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Telephone | 406-506-8366
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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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