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General NPI Number Information
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NPI Number | 1124960745
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Entity Type | Organization
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Legal Business Name | FORENSIC HEALING LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 4800 MARKET ST STE C
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2119
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Country | US
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Telephone | 330-397-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 MARKET ST STE C
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2119
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Country | US
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Telephone | 330-397-9878
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | KRISTYN WOLF
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Credential | MSED, LPCC-S
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Telephone | 330-397-9878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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