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General NPI Number Information
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NPI Number | 1982582128
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Entity Type | Organization
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Legal Business Name | HEALTHY MIND HEALTHY ME PLLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 205 DABNEY DR
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City | HENDERSON
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State | NC
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Zip | 27536-4033
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Country | US
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Telephone | 252-767-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 205 DABNEY DR
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City | HENDERSON
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State | NC
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Zip | 27536-4033
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Country | US
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Telephone | 252-767-6696
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. AYANA LEWIS
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Credential |
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Telephone | 252-767-6696
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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 |
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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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