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General NPI Number Information
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NPI Number | 1124952908
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Entity Type | Organization
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Legal Business Name | CHALLENGED HEARTS HEALING CENTER LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 3190 FAIRVIEW PARK DR STE 200 OFFICE #6
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City | FALLS CHURCH
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State | VA
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Zip | 22042-4547
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Country | US
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Telephone | 315-456-9551
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR STE A
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 315-456-9551
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | JULIA E SANDERS
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Credential | MSW, LCSW, LCSWC
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Telephone | 315-456-9551
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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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