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General NPI Number Information
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NPI Number | 1831856467
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Entity Type | Organization
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Legal Business Name | ELITE MENTAL HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 5780 OSAGE BEACH PKWY STE 205A
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3188
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Country | US
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Telephone | 573-410-9777
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Fax | 573-693-1003
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Provider Business Mailing Address
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Address Line | 75 BRIARWOOD CT
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City | CAMDENTON
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State | MO
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Zip | 65020-6600
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Country | US
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Telephone | 573-410-9777
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Fax | 573-693-1003
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. RHONDA HOOKER
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Credential |
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Telephone | 573-410-9777
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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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