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General NPI Number Information
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NPI Number | 1427901370
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Entity Type | Organization
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Legal Business Name | BALANCED MIND WELLNESS LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 173 WINDY OAKS DR SE
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City | CALHOUN
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State | GA
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Zip | 30701-4448
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Country | US
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Telephone | 706-483-9279
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Fax | 706-483-9279
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Provider Business Mailing Address
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Address Line | 136 W BELMONT DR # 11-140
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City | CALHOUN
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State | GA
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Zip | 30701-3064
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Country | US
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Telephone | 706-483-9279
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Fax |
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Authorized Official
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Title or Position | FNP-BC OWNER
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Name | JESSICA DOBASH
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Credential | FNP-BC
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Telephone | 770-881-4122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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