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General NPI Number Information
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NPI Number | 1437800893
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Entity Type | Organization
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Legal Business Name | HEALTHY MIND LLC
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 100 HORIZON CENTER BLVD STE 100
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City | HAMILTON
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State | NJ
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Zip | 08691-1910
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Country | US
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Telephone | 267-563-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HORIZON CENTER BLVD STE 100
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City | HAMILTON
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State | NJ
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Zip | 08691-1910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | URSULA ODIMARA
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Credential |
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Telephone | 215-771-3834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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