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General NPI Number Information
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NPI Number | 1033916713
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Entity Type | Organization
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Legal Business Name | HEALING MUDRAS LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1 GROVE ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-4116
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Country | US
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Telephone | 860-384-7588
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Fax |
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Provider Business Mailing Address
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Address Line | 38 ELAM ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-2706
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Country | US
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Telephone | 860-538-9913
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH CLINICIAN
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Name | KATHERYNA M ALICEA
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Credential | LCSW
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Telephone | 860-538-9913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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