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General NPI Number Information
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NPI Number | 1730098443
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Entity Type | Organization
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Legal Business Name | DOING LIFE WELL INTEGRATIVE HEALTH AND CONSULTING, PLLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 166 COUNTY ROAD 1562
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City | TUPELO
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State | MS
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Zip | 38804-8549
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Country | US
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Telephone | 601-337-0294
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 404
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City | TUPELO
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State | MS
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Zip | 38802-0404
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Country | US
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Telephone | 601-337-0294
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Fax |
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Authorized Official
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Title or Position | FOUNDER/SOLE MEMBER
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Name | MRS. REGINA LACKING
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Credential | LCSW
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Telephone | 601-337-0294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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