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General NPI Number Information
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NPI Number | 1558207829
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Entity Type | Organization
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Legal Business Name | VELORA MENTAL HEALTH
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 4806 GANO ST UNIT C
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City | HOUSTON
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State | TX
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Zip | 77009-2277
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Country | US
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Telephone | 346-680-2796
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Fax |
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Provider Business Mailing Address
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Address Line | 517 WALLIS FARM LN
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City | MARIETTA
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State | GA
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Zip | 30064-5465
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASAJNAE MERCADEL
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Credential |
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Telephone | 346-680-2796
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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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