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General NPI Number Information
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NPI Number | 1114607017
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Entity Type | Organization
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Legal Business Name | HEAL CENTER FOR COUNSELING AND COMPLEMENTARY HEALTH, LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 23301 CEDAR MOUNTAIN DR
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City | RAPIDAN
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State | VA
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Zip | 22733-1845
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Country | US
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Telephone | 540-717-4212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | MITCHELLS
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State | VA
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Zip | 22729-0123
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Country | US
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Telephone | 540-717-4212
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ARMINDA BERNICE PERCH
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Credential | LCSW
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Telephone | 912-574-8702
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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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