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General NPI Number Information
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NPI Number | 1700708856
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Entity Type | Organization
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Legal Business Name | MIND WORKS HOPE & HEALING LLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 9633 HARKNESS AVE S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-3869
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Country | US
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Telephone | 651-442-5157
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Fax | 888-237-4035
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Provider Business Mailing Address
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Address Line | 520 DARIAN DR
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City | PROSPER
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State | TX
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Zip | 75078-9403
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Country | US
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Telephone | 651-442-5157
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Fax | 888-237-4035
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALBERT ABOUDEM ATEMKENG
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Credential | LGSW, LICSW
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Telephone | 651-442-5157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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