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General NPI Number Information
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NPI Number | 1912857756
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Entity Type | Organization
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Legal Business Name | MUSTARD SEED COUNSELING CENTER LLC
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 1545 MELODIC LARK DR
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City | LAS VEGAS
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State | NV
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Zip | 89138-6586
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Country | US
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Telephone | 702-417-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 MELODIC LARK DR
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City | LAS VEGAS
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State | NV
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Zip | 89138-6586
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | RASHEDA L ANDERSON
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Credential | LCPC
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Telephone | 404-437-0596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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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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