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General NPI Number Information
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NPI Number | 1164299731
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Entity Type | Organization
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Legal Business Name | NURTURING HEARTS, INC.
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 32 W 8TH ST STE 505
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City | ERIE
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State | PA
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Zip | 16501-1351
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Country | US
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Telephone | 814-460-5954
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 653
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City | ERIE
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State | PA
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Zip | 16512-0653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | SHAWNTA' PULLIAM-BROWN
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Credential | BCDNM, CD(DONA)
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Telephone | 814-460-3205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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