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General NPI Number Information
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NPI Number | 1588572580
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Entity Type | Organization
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Legal Business Name | JKS MELANATED MINDS
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 927 BROOKLINE BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15226-2181
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Country | US
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Telephone | 412-990-2902
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Fax |
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Provider Business Mailing Address
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Address Line | 927 BROOKLINE BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15226-2181
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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 | DIRECTOR OF COMMUNITY ENGAGEMENT
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Name | KAYLA HARRIS
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Credential | LPC
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Telephone | 724-683-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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