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General NPI Number Information
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NPI Number | 1205720281
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Entity Type | Organization
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Legal Business Name | HEALING GROUND BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1403 GROUSE AVE
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City | DONNA
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State | TX
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Zip | 78537-9340
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Country | US
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Telephone | 956-970-1342
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 GROUSE AVE
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City | DONNA
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State | TX
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Zip | 78537-9340
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Country | US
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Telephone | 956-970-1342
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Fax |
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Authorized Official
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Title or Position | QUALIFIED MENTAL HEALTH PROFESSIONA
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Name | NICOLE VILLARREAL
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Credential | MASTER SOCIAL WORKER
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Telephone | 956-970-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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