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General NPI Number Information
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NPI Number | 1063299071
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Entity Type | Organization
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Legal Business Name | HEALING ELEMENTS COUNSELING
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 15887 SNOW RD
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City | BROOKPARK
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State | OH
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Zip | 44142-2858
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Country | US
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Telephone | 216-571-2909
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Fax | 888-892-2977
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Provider Business Mailing Address
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Address Line | 15887 SNOW RD
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City | BROOKPARK
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State | OH
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Zip | 44142-2858
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Country | US
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Telephone | 216-714-3128
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Fax | 888-892-2977
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Authorized Official
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Title or Position | OWNER
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Name | TINA KENNEY
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Credential | LPCC-S
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Telephone | 216-714-3128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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