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General NPI Number Information
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NPI Number | 1427927482
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Entity Type | Organization
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Legal Business Name | PATH TO SERENITY MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 1916 MOGULBEAR CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3620
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Country | US
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Telephone | 757-404-8678
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 MOGULBEAR CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-3620
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Country | US
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Telephone | 757-615-8338
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Fax | 757-282-5944
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE MILLSPAW
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Credential |
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Telephone | 757-404-8678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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