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General NPI Number Information
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NPI Number | 1740158872
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC MENTAL HEALTH ASSOCIATES LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2843 ALT 19
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City | PALM HARBOR
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State | FL
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Zip | 34683-1926
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Country | US
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Telephone | 727-772-0038
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Fax | 727-787-2384
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Provider Business Mailing Address
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Address Line | 4424 WORTHINGTON CIR
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City | PALM HARBOR
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State | FL
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Zip | 34685-1158
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Country | US
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Telephone | 727-504-7073
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Fax | 727-787-2384
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK E HICKEY
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Credential | APRN/PMHNP
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Telephone | 727-504-7073
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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 | 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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Taxonomy #3
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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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