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NPI 1093410243

NPI 1093410243 : HEALE COUNSELING, LLC : TUPELO, MS

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General NPI Number Information
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    NPI Number           |    1093410243
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALE COUNSELING, LLC 
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Dates
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    Enumeration Date     |    04/04/2023
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    302 S SPRING ST 
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    City                 |    TUPELO
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    State                |    MS
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    Zip                  |    38804-4853
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    Country              |    US
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    Telephone            |    662-205-0098
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 68 
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    City                 |    TUPELO
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    State                |    MS
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    Zip                  |    38802-0068
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    Country              |    US
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    Telephone            |    662-205-0098
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    Fax                  |    662-495-4079
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     WILLIAM  KLEIN 
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    Credential           |    
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    Telephone            |    662-205-0098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0802X
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    Taxonomy Name        |    Addiction Psychiatry Physician
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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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        |    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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Taxonomy #6
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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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