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General NPI Number Information
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NPI Number | 1710844899
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Entity Type | Organization
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Legal Business Name | MILLENNIUM MENTAL HEALTH CONCEPTS LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 30 N GOULD ST
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 509-768-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE N
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TOBIAS HAMLIN
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Credential |
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Telephone | 509-768-2249
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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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