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General NPI Number Information
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NPI Number | 1619855624
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Entity Type | Organization
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Legal Business Name | AWAKENING MINDS LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 221 7TH ST N STE 105
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City | COLUMBUS
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State | MS
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Zip | 39701-4569
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Country | US
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Telephone | 601-506-7109
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Fax |
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Provider Business Mailing Address
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Address Line | 506 HOLLY HILLS RD APT 25
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City | COLUMBUS
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State | MS
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Zip | 39705-1249
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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 | PSYCHIATRIC NURSE PRACTITIONER
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Name | LAPORSHIA HARRIS
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Credential | NP
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Telephone | 601-506-7109
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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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