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General NPI Number Information
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NPI Number | 1558257113
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Entity Type | Organization
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Legal Business Name | MENTAL WEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 8180 REGENT PKWY STE 110
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City | FORT MILL
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State | SC
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Zip | 29715-8417
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Country | US
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Telephone | 704-787-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 3917 EDGEVIEW DR
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5518
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Country | US
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Telephone | 704-787-6162
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Fax | 704-787-6162
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA CARTER
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Credential | PMHNP
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Telephone | 704-787-6162
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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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