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General NPI Number Information
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NPI Number | 1730078916
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Entity Type | Organization
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Legal Business Name | KREATIVE MINDS HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2012 POPLAR CT
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City | CONWAY
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State | PA
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Zip | 15027-1362
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Country | US
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Telephone | 724-578-2739
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Fax | 724-218-3895
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Provider Business Mailing Address
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Address Line | 2008 POPLAR CT
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City | CONWAY
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State | PA
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Zip | 15027-1362
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Country | US
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Telephone | 724-622-6478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER KREHNOVI
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Credential | PMHNP, FNP
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Telephone | 724-622-6478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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