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General NPI Number Information
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NPI Number | 1902696255
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Entity Type | Organization
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Legal Business Name | THE MINDFUL PATH COUNSELING LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2833 WOODROW DR
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City | KNOXVILLE
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State | TN
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Zip | 37918-1860
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Country | US
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Telephone | 865-327-6602
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Fax |
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Provider Business Mailing Address
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Address Line | 1722 HENRIETTA AVE
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City | KNOXVILLE
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State | TN
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Zip | 37915-1413
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Country | US
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Telephone | 865-643-3609
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE MARSHALL
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Credential | LPC-MHSP
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Telephone | 865-643-3609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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