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NPI 1639087786

NPI 1639087786 : HOLISTIC MIND CONNECTIONS, LLC : FRONT ROYAL, VA

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General NPI Number Information
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    NPI Number           |    1639087786
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOLISTIC MIND CONNECTIONS, LLC 
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Dates
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    Enumeration Date     |    08/31/2026
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    Last Update Date     |    08/31/2026
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Provider Practice Location Address
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    Address Line         |    24 W MAIN ST STE B 
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    City                 |    FRONT ROYAL
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    State                |    VA
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    Zip                  |    22630-2655
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    Country              |    US
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    Telephone            |    540-252-3317
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2045 S PLEASANT VALLEY RD # 1108 
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    City                 |    WINCHESTER
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    State                |    VA
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    Zip                  |    22601-7001
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    Country              |    US
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    Telephone            |    540-252-3317
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMANDA  SHENK 
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    Credential           |    LPC
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    Telephone            |    540-252-3317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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