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General NPI Number Information
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NPI Number | 1699674234
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Entity Type | Organization
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Legal Business Name | FREE YOUR MIND THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4624 PROGRESS DR UNIT 7
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City | DAVENPORT
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State | IA
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Zip | 52807-3490
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Country | US
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Telephone | 563-593-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 3544 CROW CREEK RD
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City | DAVENPORT
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State | IA
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Zip | 52807-7601
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Country | US
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Telephone | 563-593-8861
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | KELLY KAY MCREYNOLDS
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Credential | LCPC LMHC
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Telephone | 563-593-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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