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General NPI Number Information
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NPI Number | 1588490627
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Entity Type | Organization
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Legal Business Name | MINDFUL REFLECTIONS THERAPY LLC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 7142 ROYAL GEORGE CT
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8265
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Country | US
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Telephone | 813-600-0690
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Fax |
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Provider Business Mailing Address
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Address Line | 7142 ROYAL GEORGE CT
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8265
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Country | US
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Telephone | 813-600-0690
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MRS. ASHLEY NICOLE DUNNE
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Credential | MA, LMHC, CRC
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Telephone | 813-600-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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