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General NPI Number Information
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NPI Number | 1649113697
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Entity Type | Organization
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Legal Business Name | JOYFUL MINDS INTEGRATED MENTAL HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 1511 W 3RD AVE STE 103
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City | ALBANY
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State | GA
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Zip | 31707-3658
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Country | US
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Telephone | 229-303-8288
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Fax | 229-518-2746
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Provider Business Mailing Address
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Address Line | 1511 W 3RD AVE STE 103
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City | ALBANY
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State | GA
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Zip | 31707-3658
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Country | US
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Telephone | 229-303-8288
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Fax | 229-518-2746
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Authorized Official
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Title or Position | ADVANCE PRACTICE REGISTERED NURSE
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Name | YARVARIOUS TARVETT LANE
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Credential | APRN
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Telephone | 229-303-8288
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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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