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General NPI Number Information
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NPI Number | 1487592309
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Entity Type | Organization
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Legal Business Name | LOVING MINDS MENTAL HEALING
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 3900 CITY AVE APT W1105
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2963
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Country | US
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Telephone | 267-281-4884
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Fax | 479-307-4787
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Provider Business Mailing Address
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Address Line | 45 E. CITY AVE PMB #642
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 267-281-4884
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Fax | 479-307-4787
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Authorized Official
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Title or Position | PMHNP/FNP
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Name | LAVENIA FAIN
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Credential | CRNP
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Telephone | 215-432-0888
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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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