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General NPI Number Information
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NPI Number | 1821965187
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Entity Type | Organization
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Legal Business Name | ATARAXIA WELLNESS PROJECT NORTH LLC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 25371 STORMS RD
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City | WEST MANSFIELD
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State | OH
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Zip | 43358-9665
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Country | US
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Telephone | 937-210-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 25371 STORMS RD
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City | WEST MANSFIELD
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State | OH
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Zip | 43358-9665
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Country | US
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Telephone | 937-210-9116
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS AMANDA FAYE PRICE
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Credential | LISW-S, LCSW
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Telephone | 740-262-8710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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