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Organization
FITMIND MENTAL HEALTH PRACTICE, LLC
Active
Organization
FITMIND MENTAL HEALTH PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHULAMMITE FANEGAN APRN (PMHNP-BC)
(513) 858-2732
Entity
Organization
Contact information
Practice address
1244 NILLES RD STE 10, FAIRFIELD, OH 45014-2788
(513) 858-2732
Mailing address
5759 GLEN ABBY CT, LIBERTY TWP, OH 45011-2270
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
03/23/2023
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