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General NPI Number Information
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NPI Number | 1548157654
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Entity Type | Organization
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Legal Business Name | PSYNERGY MENTAL WELLNESS LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 131 N SANTA FE AVE # 125
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City | SALINA
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State | KS
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Zip | 67401-2642
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Country | US
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Telephone | 785-269-5054
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Fax | 785-203-8606
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Provider Business Mailing Address
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Address Line | 131 N SANTA FE AVE # 125
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City | SALINA
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State | KS
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Zip | 67401-2642
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Country | US
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Telephone | 785-269-5054
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Fax | 785-203-8606
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KRISTA WISS
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Credential | PMHNP
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Telephone | 785-269-5054
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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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