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General NPI Number Information
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NPI Number | 1194787234
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Entity Type | Organization
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Legal Business Name | HEALING BRIDGES
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 378 WEST CHESTNUT ST SUITE 205
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-225-6940
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Fax | 724-225-6811
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Provider Business Mailing Address
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Address Line | 378 WEST CHESTNUT ST. SUITE 205
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-225-6940
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Fax | 724-225-6811
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NATALIE L ROSS
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Credential |
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Telephone | 724-225-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 439920
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 439920
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 439920
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 439920
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License Number State | PA
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Taxonomy #5
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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 | PA
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