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General NPI Number Information
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NPI Number | 1083542351
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Entity Type | Organization
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Legal Business Name | HEALING GENERATIONS WELLNESS CENTER
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 1001 W CYPRESS CREEK RD STE 414
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1951
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Country | US
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Telephone | 954-914-4139
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Fax | 954-400-7067
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Provider Business Mailing Address
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Address Line | 300 SE 2ND ST STE 600
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1950
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Country | US
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Telephone |
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Fax | 954-400-7067
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LEOLA WITHERSPOON
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Credential |
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Telephone | 954-914-4139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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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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