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General NPI Number Information
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NPI Number | 1033930169
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Entity Type | Organization
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Legal Business Name | HEALING THERAPY SOLUTION
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 8 WRIGHT ST
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City | WESTPORT
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State | CT
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Zip | 06880-3100
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Country | US
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Telephone | 787-717-8466
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WAUWINET TRL
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City | GUILFORD
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State | CT
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Zip | 06437-1152
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Country | US
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Telephone | 787-717-8466
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | CARLOS E RIOLLANO BAYOUTH
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Credential | PHD, LPC
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Telephone | 787-717-8466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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