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General NPI Number Information
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NPI Number | 1386520310
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Entity Type | Organization
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Legal Business Name | MINDCARE WELLNESS CENTER
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2601 TULANE AVE STE 320
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7462
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Country | US
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Telephone | 972-983-4950
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Fax |
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Provider Business Mailing Address
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Address Line | 367 PROVIDENCE BAY RD
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City | SLIDELL
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State | LA
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Zip | 70461-7002
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Country | US
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Telephone | 972-983-4950
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. AKILAH WASHINGTON
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Credential |
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Telephone | 972-983-4950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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