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General NPI Number Information
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NPI Number | 1053292086
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Entity Type | Organization
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Legal Business Name | TIME TO HEAL CENTER II
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 350 EVERGREEN RD STE 105
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City | LOUISVILLE
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State | KY
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Zip | 40243-1010
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Country | US
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Telephone | 502-451-6662
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Fax |
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Provider Business Mailing Address
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Address Line | 350 EVERGREEN RD STE 105
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City | LOUISVILLE
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State | KY
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Zip | 40243-1010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRES
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Name | MARY J ARMSTRONG
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Credential |
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Telephone | 331-385-0151
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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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