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General NPI Number Information
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NPI Number | 1467109603
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Entity Type | Organization
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Legal Business Name | INTEGRITY MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 2241 FARNUM ST STE 102
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City | CASPER
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State | WY
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Zip | 82609-4108
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Country | US
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Telephone | 307-262-3309
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Fax | 307-333-0335
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Provider Business Mailing Address
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Address Line | 2241 FARNUM ST STE 102
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City | CASPER
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State | WY
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Zip | 82609-4108
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Country | US
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Telephone | 307-262-3309
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Fax | 307-333-0335
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DAWN LEWIS
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Credential | LPC
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Telephone | 307-262-3309
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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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