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General NPI Number Information
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NPI Number | 1669286456
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Entity Type | Organization
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Legal Business Name | THE MENTAL HEALTH COLLECTIVE LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1320 CORPORATE DR STE 100
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City | HUDSON
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State | OH
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Zip | 44236-4442
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Country | US
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Telephone | 330-203-1614
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Fax | 216-400-9196
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Provider Business Mailing Address
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Address Line | PO BOX 924
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City | HUDSON
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State | OH
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Zip | 44236-5924
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Country | US
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Telephone | 330-203-1614
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | JENNIFER FOREN
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Credential | PMHNP-BC
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Telephone | 330-203-1614
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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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