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General NPI Number Information
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NPI Number | 1154238665
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Entity Type | Organization
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Legal Business Name | HEALING CENTER COLLECTIVE, P.L.L.C.
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 7000 N COTTON LN UNIT 1005
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City | WADDELL
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State | AZ
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Zip | 85355-8038
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Country | US
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Telephone | 480-328-4410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1005
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City | WADDELL
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State | AZ
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Zip | 85355-1005
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Country | US
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Telephone | 602-502-9911
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | CILICIA T. GOODEN
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Credential | LCSW
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Telephone | 480-328-4410
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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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