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General NPI Number Information
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NPI Number | 1083227334
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Entity Type | Organization
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Legal Business Name | WHOLE HEART ART THERAPY & CREATIVE COUNSELING
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 955 S MAIN ST # B201
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City | MIDDLETOWN
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State | CT
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Zip | 06457-5153
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Country | US
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Telephone | 203-533-2351
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Fax |
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Provider Business Mailing Address
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Address Line | 26 SEARS ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4336
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Country | US
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Telephone | 203-816-7452
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY HINES LUNT
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Credential | LPC
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Telephone | 203-533-2351
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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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