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General NPI Number Information
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NPI Number | 1568107340
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Entity Type | Organization
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Legal Business Name | OWN YOUR MIND PSYCHOLOGY SERVICES AND CONSULTATION, INC.
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 4974 E CLINTON WAY STE C102
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City | FRESNO
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State | CA
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Zip | 93727-1531
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Country | US
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Telephone | 559-202-3713
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 SHAW AVE STE 102-117
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City | CLOVIS
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State | CA
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Zip | 93611-4072
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Country | US
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Telephone | 559-202-3713
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SHEERA N HARRELL
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Credential | PHD
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Telephone | 559-202-3713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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