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General NPI Number Information
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NPI Number | 1821740499
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Entity Type | Organization
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Legal Business Name | HOPEFUL MINDS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 2855 E HAYES ST
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City | NEWBERG
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State | OR
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Zip | 97132-1397
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Country | US
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Telephone | 503-550-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 505 S CHEHALEM ST
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City | NEWBERG
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State | OR
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Zip | 97132-3621
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Country | US
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Telephone | 503-550-6862
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NADEGE PETRIE
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Credential |
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Telephone | 503-550-6862
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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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