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General NPI Number Information
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NPI Number | 1407926686
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOCIATES INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1115 1ST ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-4701
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Country | US
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Telephone | 540-343-0004
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Fax | 540-343-1576
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Provider Business Mailing Address
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Address Line | 1115 1ST ST SW
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City | ROANOKE
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State | VA
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Zip | 24016-4701
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Country | US
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Telephone | 540-343-0004
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Fax | 540-343-1576
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. JINGER D SNAPP-LAPLACE
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Credential |
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Telephone | 540-343-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | VA
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