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General NPI Number Information
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NPI Number | 1457263196
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Entity Type | Organization
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Legal Business Name | ALMA WELLNESS ASSOCIATES LLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 6373 N QUAIL HOLLOW RD STE 101
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City | MEMPHIS
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State | TN
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Zip | 38120-1405
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Country | US
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Telephone | 901-871-0170
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Fax | 901-871-0353
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Provider Business Mailing Address
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Address Line | 6373 N QUAIL HOLLOW RD STE 101
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City | MEMPHIS
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State | TN
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Zip | 38120-1405
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Country | US
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Telephone | 901-871-0170
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Fax | 901-871-0353
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | PAULETTE DICKERSON
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Credential |
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Telephone | 901-871-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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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