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General NPI Number Information
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NPI Number | 1629948674
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Entity Type | Organization
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Legal Business Name | MIND AND HER WELLNESS
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1097 S PENDLETON ST STE D
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City | EASLEY
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State | SC
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Zip | 29642-1050
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Country | US
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Telephone | 864-660-3147
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Fax | 800-839-2714
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Provider Business Mailing Address
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Address Line | 1108 ROE FORD RD
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City | GREENVILLE
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State | SC
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Zip | 29617-6142
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Country | US
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Telephone | 269-503-4379
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Fax |
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Authorized Official
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Title or Position | NP
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Name | ALEXA MIDDLETON
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Credential | NP
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Telephone | 269-503-4379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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