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General NPI Number Information
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NPI Number | 1356926570
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Entity Type | Organization
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Legal Business Name | FREE YOUR MIND CONSULTING LLC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 10130 MALLARD CREEK RD
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City | CHARLOTTE
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State | NC
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Zip | 28262-6000
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Country | US
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Telephone | 336-462-8269
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Fax |
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Provider Business Mailing Address
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Address Line | 5818 HIGHLAND SHOPPES DR STE C5
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City | CHARLOTTE
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State | NC
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Zip | 28269-2654
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Country | US
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Telephone | 704-974-5328
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA L WILLIAMS
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Credential |
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Telephone | 704-974-5328
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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