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General NPI Number Information
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NPI Number | 1205286721
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Entity Type | Organization
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Legal Business Name | HEALTHY HEALING SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 5497 W WATERFORD LN STE A
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City | APPLETON
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State | WI
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Zip | 54913-8489
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Country | US
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Telephone | 920-750-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 5497 W WATERFORD LN STE A
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City | APPLETON
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State | WI
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Zip | 54913-8489
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Country | US
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Telephone | 920-750-6120
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | CATHERINE MORROW
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Credential | MSE
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Telephone | 608-669-6908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 5830125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 5830125
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License Number State | WI
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