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General NPI Number Information
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NPI Number | 1841006186
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Entity Type | Organization
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Legal Business Name | STARSEED NEUROAFFIRMING WELLNESS LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 120 ALISO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2693
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Country | US
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Telephone | 505-605-6455
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Fax | 505-485-0639
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Provider Business Mailing Address
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Address Line | 500 LOCUST ST # 1013
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City | DES MOINES
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State | IA
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Zip | 50309-4104
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Country | US
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Telephone | 505-605-6455
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Fax | 505-485-0639
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SHERI DIGIACINTO
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Credential | PMHNP-BC
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Telephone | 832-738-9647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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