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General NPI Number Information
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NPI Number | 1659251379
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Entity Type | Organization
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Legal Business Name | STABLE MIND, PLLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 18955 PARK AVENUE PLZ
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City | MEADVILLE
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State | PA
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Zip | 16335-4015
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Country | US
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Telephone | 814-261-2758
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Fax | 814-850-3042
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Provider Business Mailing Address
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Address Line | 20644 ACKER RD
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City | SAEGERTOWN
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State | PA
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Zip | 16433-2610
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Country | US
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Telephone | 814-261-2758
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Fax | 814-850-3042
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Authorized Official
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Title or Position | CEO, OWNER
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Name | MRS. DALLAS ACKER
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Credential | PMHNP-BC
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Telephone | 814-261-2758
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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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