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General NPI Number Information
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NPI Number | 1841159464
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Entity Type | Organization
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Legal Business Name | CLEAR MIND HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 217 W MAIN ST
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City | YOUNGSVILLE
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State | PA
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Zip | 16371-1436
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Country | US
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Telephone | 208-963-2956
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Fax | 208-277-3133
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Provider Business Mailing Address
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Address Line | PO BOX 34
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City | YOUNGSVILLE
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State | PA
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Zip | 16371-0034
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Country | US
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Telephone | 208-963-2956
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Fax | 208-277-3133
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD DAVIS
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Credential | LPC
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Telephone | 208-963-2956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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