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General NPI Number Information
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NPI Number | 1023675477
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Entity Type | Organization
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Legal Business Name | HAPPY HEALTHY HEALING PLLC
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5675 STONE RD. SUITE 310
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City | CENTREVILLE
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State | VA
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Zip | 20120
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Country | US
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Telephone | 816-405-7499
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Fax | 703-543-2639
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Provider Business Mailing Address
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Address Line | 6165 GOTHWAITE DRIVE
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City | CENTREVILLE
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State | VA
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Zip | 20120-1817
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Country | US
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Telephone | 816-405-7499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANDREA BETH MCCORMACK
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Credential | LPC
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Telephone | 816-405-7499
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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 |
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