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General NPI Number Information
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NPI Number | 1801745526
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Entity Type | Organization
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Legal Business Name | WISE MIND WELLNESS LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 830 E FRONT ST STE 325
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-2527
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Country | US
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Telephone | 231-685-7198
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5317
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City | TRAVERSE CITY
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State | MI
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Zip | 49696-5317
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Country | US
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Telephone | 231-685-7198
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICIAN
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Name | ANNA BURNS
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Credential | LMSW
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Telephone | 231-685-7198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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