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General NPI Number Information
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NPI Number | 1144186594
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Entity Type | Organization
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Legal Business Name | HEALING COLLABORATIVE NE LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 132 CONCORD AVE
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City | CRANSTON
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State | RI
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Zip | 02910-3304
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Country | US
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Telephone | 508-343-0262
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Fax | 401-638-1277
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Provider Business Mailing Address
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Address Line | 132 CONCORD AVE
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City | CRANSTON
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State | RI
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Zip | 02910-3304
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Country | US
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Telephone | 508-343-0262
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Fax | 401-638-1277
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Authorized Official
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Title or Position | FOUNDER/OWNER/THERAPIST
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Name | KELLY A SHEEHAN
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Credential | LICSW
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Telephone | 508-343-0262
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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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