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General NPI Number Information
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NPI Number | 1902748452
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Entity Type | Organization
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Legal Business Name | MINDOLOGY EMPOWERMENT ACADEMY INC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 114 N CLARK DR APT 104
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-4703
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Country | US
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Telephone | 818-802-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 14320 VENTURA BLVD STE 179
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2717
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Country | US
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Telephone | 818-802-3700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | TROY BYER
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Credential | PSYD
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Telephone | 818-802-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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