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General NPI Number Information
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NPI Number | 1639037997
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Entity Type | Organization
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Legal Business Name | ZION 360 MENTAL HEALTH AND WELLNESS L.L.C.
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 5870 FULTON DR NW STE B
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City | CANTON
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State | OH
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Zip | 44718-1782
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Country | US
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Telephone | 330-574-4137
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Fax | 330-975-6044
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Provider Business Mailing Address
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Address Line | 5870 FULTON DR NW STE B
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City | CANTON
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State | OH
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Zip | 44718-1782
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Country | US
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Telephone | 330-574-4137
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Fax | 330-975-6044
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BREANNA MILLSAP
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Credential | APRN, PMHNP-BC
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Telephone | 330-209-6894
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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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