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General NPI Number Information
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NPI Number | 1003387705
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Entity Type | Organization
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Legal Business Name | HEALTHY HEALING, LLC
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 04/10/2022
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Provider Practice Location Address
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Address Line | 280 DOBBS FERRY RD STE 200
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1908
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Country | US
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Telephone | 914-830-4849
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Fax |
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Provider Business Mailing Address
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Address Line | 280 DOBBS FERRY RD STE 200
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1908
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Country | US
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Telephone | 914-830-4849
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Fax | 914-885-1175
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Authorized Official
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Title or Position | CEO/OWNER
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Name | KISMYTH SHULER
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Credential | LCSW
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Telephone | 914-830-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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