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General NPI Number Information
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NPI Number | 1932018694
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Entity Type | Organization
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Legal Business Name | NEW STATE OF MIND, LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 901 US HIGHWAY 68 STE 900
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City | MAYSVILLE
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State | KY
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Zip | 41056-9190
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Country | US
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Telephone | 606-584-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 4002 LAKEVIEW DR
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City | MAYSVILLE
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State | KY
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Zip | 41056-7302
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Country | US
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Telephone | 606-584-5010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA NEWSOM
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Credential | LCSW
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Telephone | 606-584-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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