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General NPI Number Information
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NPI Number | 1194547281
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Entity Type | Organization
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Legal Business Name | CALMING WATERS THERAPY PLLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 21 N HAMMA HAMMA DR E
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City | HOODSPORT
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State | WA
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Zip | 98548-9646
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Country | US
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Telephone | 360-358-5070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1305
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City | HOODSPORT
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State | WA
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Zip | 98548-1305
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Country | US
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Telephone | 360-358-5070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HENRY PHILLIPS
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Credential | LMFT
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Telephone | 360-358-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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