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General NPI Number Information
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NPI Number | 1487506952
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Entity Type | Organization
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Legal Business Name | MISSION MENTAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1773 CADDO GAP RD
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City | BONNERDALE
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State | AR
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Zip | 71933-9248
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Country | US
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Telephone | 501-545-7300
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Fax | 501-545-7300
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Provider Business Mailing Address
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Address Line | 1773 CADDO GAP RD
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City | BONNERDALE
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State | AR
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Zip | 71933-9248
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Country | US
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Telephone | 501-545-7300
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Fax | 501-545-7300
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Authorized Official
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Title or Position | PMHNP-C; FNP-C
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Name | MRS. AMY LEIGH HENSON
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Credential | APRN
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Telephone | 501-545-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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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