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General NPI Number Information
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NPI Number | 1619734134
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Entity Type | Organization
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Legal Business Name | MINDING YOUR MENTAL HEALTH LLC
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 1331 UNION AVE STE 1148
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City | MEMPHIS
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State | TN
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Zip | 38104-7509
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Country | US
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Telephone | 901-643-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 501 UNION ST STE 545
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City | NASHVILLE
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State | TN
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Zip | 37219-1876
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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 | DNP
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Name | KEEVIA PORTER
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Credential |
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Telephone | 901-643-1540
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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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