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General NPI Number Information
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NPI Number | 1801735667
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Entity Type | Organization
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Legal Business Name | MINDSHIFT & WELLNESS LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 5834 MONROE ST
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City | SYLVANIA
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State | OH
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Zip | 43560-2267
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Country | US
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Telephone | 313-338-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 5834 MONROE ST
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City | SYLVANIA
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State | OH
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Zip | 43560-2267
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Country | US
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Telephone | 313-338-8827
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DARLENE WASHINGTON
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Credential | PMHNP
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Telephone | 313-388-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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