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General NPI Number Information
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NPI Number | 1891524856
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Entity Type | Organization
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Legal Business Name | MIND AND HEART COUNSELING, PLLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1700 COOPER POINT RD SW STE A1
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City | OLYMPIA
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State | WA
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Zip | 98502-1109
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Country | US
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Telephone | 360-451-6497
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Fax |
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Provider Business Mailing Address
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Address Line | 855 TROSPER RD SW # 108-255
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City | TUMWATER
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State | WA
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Zip | 98512-8108
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Country | US
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Telephone | 360-451-6497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA BRYDEN
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Credential | LICSW
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Telephone | 970-568-6085
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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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Taxonomy #2
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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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