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General NPI Number Information
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NPI Number | 1043075922
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Entity Type | Organization
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Legal Business Name | FAMILY HEALING COUNSELING CENTER
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 348 KY ROUTE 3188
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City | LANGLEY
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State | KY
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Zip | 41645-8910
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Country | US
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Telephone | 606-226-6892
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Fax | 606-769-0868
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Provider Business Mailing Address
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Address Line | 348 KY ROUTE 3188
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City | LANGLEY
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State | KY
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Zip | 41645-8910
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Country | US
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Telephone | 606-226-6892
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Fax | 606-769-0868
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TERRIE HARRIS
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Credential | LPCC-S
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Telephone | 606-226-6892
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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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