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General NPI Number Information
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NPI Number | 1477032480
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Entity Type | Organization
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Legal Business Name | WELLMIND, PLLC
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 11163 LA QUINTA PL STE B100
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City | EL PASO
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State | TX
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Zip | 79936-5258
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Country | US
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Telephone | 915-201-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 11163 LA QUINTA PL STE B100
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City | EL PASO
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State | TX
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Zip | 79936-5258
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Country | US
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Telephone | 915-201-2606
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. TEMPERANCE L CERVANTES
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Credential | PHD
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Telephone | 915-201-2606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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