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General NPI Number Information
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NPI Number | 1801678909
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Entity Type | Organization
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Legal Business Name | COLLABORATING MINDS LLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 485 S PERRY ST STE A9
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4923
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Country | US
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Telephone | 782-261-4756
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Fax | 678-404-8099
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Provider Business Mailing Address
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Address Line | 485 S PERRY ST STE A9
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4923
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Country | US
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Telephone | 770-315-8634
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Fax | 678-404-8099
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Authorized Official
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Title or Position | CEO
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Name | DR. CHASITY J CARSWELL
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Credential | DNP, FNP-C, PMHNP-BC
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Telephone | 678-226-1475
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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 | 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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