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General NPI Number Information
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NPI Number | 1982578720
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Entity Type | Individual
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Provider Name | KATELYN MARIE MENDENHALL
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Gender | Female
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1550 N MOUNT JULIET RD
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City | MT JULIET
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State | TN
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Zip | 37122-3783
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Country | US
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Telephone | 615-208-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 1418A 10TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37208-2512
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Country | US
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Telephone | 847-494-9391
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | TN
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