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General NPI Number Information
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NPI Number | 1366351686
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ON DEMAND LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 1702 N WOODLAND BLVD # 116-441
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City | DELAND
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State | FL
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Zip | 32720-1837
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Country | US
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Telephone | 386-747-9129
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 COWART RD
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City | PIERSON
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State | FL
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Zip | 32180-2108
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Country | US
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Telephone | 386-295-7995
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Fax |
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Authorized Official
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Title or Position | APRN/OWNER
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Name | MICHELLE POWELL
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Credential | APRN
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Telephone | 386-295-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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