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General NPI Number Information
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NPI Number | 1770077810
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Entity Type | Organization
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Legal Business Name | STRONGMIND, PLLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 992 TAMIAMI TRL UNIT E2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33953-3868
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Country | US
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Telephone | 941-208-6018
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Fax | 417-699-9979
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Provider Business Mailing Address
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Address Line | 1825 TAMIAMI TRL STE J-1005
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1077
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARRA FARNHAM
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Credential | MA, LCMHC
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Telephone | 910-849-9762
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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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