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General NPI Number Information
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NPI Number | 1174467435
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Entity Type | Organization
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Legal Business Name | GOLDEN BLOOM THERAPY
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 1070A N MAIN ST
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City | HILLSVILLE
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State | VA
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Zip | 24343-1129
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Country | US
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Telephone | 276-733-9482
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Fax |
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Provider Business Mailing Address
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Address Line | 33 BOBCAT TRL
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City | HILLSVILLE
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State | VA
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Zip | 24343-4392
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Country | US
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Telephone | 276-733-9482
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Fax |
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Authorized Official
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Title or Position | RESIDENT IN COUNSELING
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Name | HANNAH ELISABETH MORGAN
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Credential | MA
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Telephone | 276-733-9482
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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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