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General NPI Number Information
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NPI Number | 1194391433
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Entity Type | Organization
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Legal Business Name | HEART AND SOUL COUNSELING
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 121 PUBLIC SQUARE
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City | GREENSBURG
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State | KY
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Zip | 42743-4274
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Country | US
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Telephone | 575-644-8237
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Fax | 270-572-4066
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Provider Business Mailing Address
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Address Line | 121 S PUBLIC SQ
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City | GREENSBURG
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State | KY
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Zip | 42743-1532
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Country | US
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Telephone | 270-206-2601
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Fax | 270-572-4066
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | HEATHER GRAHAM
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Credential | LCSW
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Telephone | 270-206-2601
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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 | 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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Taxonomy #3
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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 #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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