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General NPI Number Information
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NPI Number | 1942037288
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Entity Type | Organization
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Legal Business Name | ESSENTIAL MENTAL WELLNESS, PLLC
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 820 N THOMPSON LN STE 1B
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City | MURFREESBORO
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State | TN
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Zip | 37129-4340
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Country | US
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Telephone | 615-260-8058
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Fax | 615-468-4660
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Provider Business Mailing Address
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Address Line | PO BOX 1992
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City | BRENTWOOD
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State | TN
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Zip | 37024-1992
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Country | US
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Telephone | 615-260-8058
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Fax | 615-468-4660
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Authorized Official
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Title or Position | PRESIDENT/CEO/PHYSICIAN
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Name | DR. PHILIP A. BROOKS
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Credential | MD
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Telephone | 615-260-8058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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Taxonomy #4
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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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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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