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General NPI Number Information
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NPI Number | 1124675673
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Entity Type | Organization
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Legal Business Name | THE HOPE & HEALING CENTER INC.
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 5272 OCEAN HWY W
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City | SHALLOTTE
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State | NC
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Zip | 28470-4006
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Country | US
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Telephone | 910-640-1830
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Fax | 910-640-1854
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Provider Business Mailing Address
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Address Line | 174 BITMORE RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-4940
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Country | US
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Telephone | 910-640-1830
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HEIDI YVETTE HERRING
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Credential | LPC, NCC, LCAS, CCS
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Telephone | 910-640-1830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 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 #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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