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General NPI Number Information
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NPI Number | 1952151391
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Entity Type | Organization
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Legal Business Name | BREEZY MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 9400 4TH ST N STE 110
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2525
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Country | US
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Telephone | 727-308-3338
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Fax | 727-308-3344
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Provider Business Mailing Address
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Address Line | 9400 4TH ST N STE 110
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2525
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Country | US
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Telephone | 727-308-3338
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Fax | 727-308-3344
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Authorized Official
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Title or Position | OWNER
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Name | DAVID NEWBY
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Credential | APRN
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Telephone | 727-308-3338
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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 | NULL
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