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General NPI Number Information
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NPI Number | 1962371310
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Entity Type | Organization
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Legal Business Name | MY JOURNEY COMPASS HEALTH, LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N # 8419
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 863-334-9037
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Fax | 800-317-0709
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # 8419
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 863-334-9037
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Fax | 800-317-0709
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Authorized Official
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Title or Position | OWNER
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Name | LEONARDA M GAIGE
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Credential | PMHNNP-BC, FNP-BC
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Telephone | 863-334-9037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 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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