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General NPI Number Information
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NPI Number | 1174195796
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Entity Type | Organization
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Legal Business Name | HEALING PERSPECTIVES COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 7311 W JEFFERSON BLVD STE B
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City | FORT WAYNE
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State | IN
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Zip | 46804-6237
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Country | US
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Telephone | 260-760-2108
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Fax |
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Provider Business Mailing Address
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Address Line | 7633 WYNNEWOOD LN
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City | FORT WAYNE
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State | IN
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Zip | 46835-9206
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Country | US
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Telephone | 260-466-3516
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE L STARNES
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Credential | LCSW
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Telephone | 260-466-3516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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