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General NPI Number Information
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NPI Number | 1104795301
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Entity Type | Organization
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Legal Business Name | HEALING JOURNEY MOBILE SERVICES, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 25219 BUNTING CIR
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City | LAND O LAKES
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State | FL
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Zip | 34639-5535
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Country | US
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Telephone | 813-575-0321
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Fax | 813-651-1515
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Provider Business Mailing Address
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Address Line | 25219 BUNTING CIR
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City | LAND O LAKES
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State | FL
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Zip | 34639-5535
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Country | US
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Telephone | 813-575-0321
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Fax | 813-651-1515
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY COTO
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Credential | LCSW
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Telephone | 813-245-3481
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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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