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General NPI Number Information
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NPI Number | 1760346829
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Entity Type | Organization
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Legal Business Name | MINDFUL PSYCHIATRY LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 711 SOUTH LEXINGTON STREET STE 100
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City | HARRISONVILLE
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State | MO
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Zip | 64701
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Country | US
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Telephone | 417-647-4408
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Fax | 417-304-2289
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Provider Business Mailing Address
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Address Line | 711 SOUTH LEXINGTON STREET STE 100
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City | HARRISONVILLE
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State | MO
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Zip | 64701
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Country | US
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Telephone | 417-647-4408
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Fax | 417-304-2289
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | STEPHANIE SUE BALL
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Credential | PMHNP-BC
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Telephone | 417-719-2180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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