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General NPI Number Information
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NPI Number | 1083445381
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Entity Type | Organization
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Legal Business Name | CENTERED IN HEALING LLC
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 9360 SILVERMIST LN
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City | MANASSAS PARK
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State | VA
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Zip | 20111-7233
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Country | US
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Telephone | 773-419-0236
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Fax |
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Provider Business Mailing Address
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Address Line | 9890 LIBERIA AVE # 1191
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City | MANASSAS
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State | VA
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Zip | 20110-5836
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Country | US
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Telephone | 773-419-0236
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JENNIFER WATSON
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Credential | LCSW
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Telephone | 773-419-0236
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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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