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General NPI Number Information
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NPI Number | 1942689559
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Entity Type | Organization
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Legal Business Name | TOTAL MENTAL WELLNESS, PLLC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 4324 MAPLESHADE LN STE 158
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City | PLANO
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State | TX
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Zip | 75093-0050
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Country | US
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Telephone | 972-712-0591
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Fax | 972-421-1527
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Provider Business Mailing Address
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Address Line | 4072 BRIAR TREE LN
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City | FRISCO
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State | TX
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Zip | 75034-3868
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Country | US
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Telephone | 972-712-0591
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Fax | 972-421-1527
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Authorized Official
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Title or Position | PSYCHIATRIC NP
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Name | JAMI MAYORGA DICKSON
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Credential | APRN, MSN, PMHNP-BC
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Telephone | 972-712-0591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP119548
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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