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General NPI Number Information
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NPI Number | 1861336638
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Entity Type | Organization
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Legal Business Name | PROMISE KEPT PSYCHIATRIC AND CONSULTATION SERVICES, LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 165 DAY DR
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City | BAINBRIDGE
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State | GA
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Zip | 39817-6721
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Country | US
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Telephone | 229-586-6504
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Fax |
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Provider Business Mailing Address
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Address Line | 165 DAY DR
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City | BAINBRIDGE
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State | GA
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Zip | 39817-6721
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Country | US
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Telephone | 229-586-6504
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Fax |
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Authorized Official
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Title or Position | DNP PMHNP FNP
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Name | MRS. VASHAWN RENEE MOSLEY
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Credential | NP
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Telephone | 229-205-9287
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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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