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General NPI Number Information
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NPI Number | 1568371326
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Entity Type | Organization
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Legal Business Name | AVENELLE WELLNESS & PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 944 GRASSWOOD CT
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City | ARLINGTON
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State | TX
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Zip | 76017-6135
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Country | US
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Telephone | 972-302-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 944 GRASSWOOD CT
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City | ARLINGTON
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State | TX
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Zip | 76017-6135
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Country | US
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Telephone | 972-302-9933
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Fax | 833-672-3425
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | CYNTHIA LOVE
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Credential | MSN, APRN PMHNP-BC
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Telephone | 972-302-9933
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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 | NULL
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