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General NPI Number Information
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NPI Number | 1790360345
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Entity Type | Organization
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Legal Business Name | MINDSET 2 WELLNESS LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 1400 MAIN ST
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1218
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Country | US
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Telephone | 304-374-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 279 BELL BLVD
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City | WEIRTON
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State | WV
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Zip | 26062-3351
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Country | US
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Telephone | 304-374-1289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNETTE CULA CARTE
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Credential | MS
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Telephone | 304-374-1289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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