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General NPI Number Information
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NPI Number | 1073328357
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Entity Type | Organization
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Legal Business Name | HEALING PATHS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 101 STONIER LN
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City | RIDGEWAY
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State | WI
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Zip | 53582-9798
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Country | US
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Telephone | 608-341-8600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | REWEY
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State | WI
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Zip | 53580-0007
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Country | US
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Telephone | 608-574-4352
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JANE ELLEN KEMNITZER
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Credential | MSE LCSW
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Telephone | 608-574-4352
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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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Taxonomy #2
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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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