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General NPI Number Information
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NPI Number | 1720925357
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Entity Type | Organization
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Legal Business Name | WELLNESS ESSENTIALS
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 450 HIDDEN DR
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City | MONTICELLO
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State | KY
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Zip | 42633
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Country | US
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Telephone | 606-307-3043
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1092
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City | MONTICELLO
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State | KY
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Zip | 42633-4092
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Country | US
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Telephone | 606-307-3043
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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 | LOUIS BERTRAND GRAVES III
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Credential | CSW
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Telephone | 606-307-3043
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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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