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General NPI Number Information
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NPI Number | 1538933577
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Entity Type | Organization
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Legal Business Name | PSYCH MIND SOLUTIONS LLC
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 640 S BAY ST
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City | EUSTIS
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State | FL
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Zip | 32726-4860
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Country | US
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Telephone | 689-250-4351
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Fax |
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Provider Business Mailing Address
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Address Line | 1228 MOUNT MCKINLEY CT
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City | APOPKA
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State | FL
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Zip | 32712-5675
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Country | US
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Telephone | 689-250-4351
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MRS. YVONKA S WILLIAMS
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Credential | APRN, FNP, PMHNP
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Telephone | 689-250-4351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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