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General NPI Number Information
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NPI Number | 1215347786
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS COUNSELING
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 6800 WISCONSIN AVE STE 1051
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6105
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Country | US
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Telephone | 240-780-8793
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 W HORIZON RIDGE PKWAY STE R # 763
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City | HENDERSON
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State | NV
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Zip | 89012
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Country | US
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Telephone | 240-780-8793
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Fax |
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Authorized Official
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Title or Position | CEO AND PRESIDENT
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Name | JUDY WANG
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Credential | LCPC
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Telephone | 240-780-8793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC5014
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License Number State | MD
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