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General NPI Number Information
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NPI Number | 1215536453
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE HEALING COUNSELING, LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 2320 HIGHLAND AVE S STE 290C
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2962
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Country | US
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Telephone | 205-201-1693
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Fax |
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Provider Business Mailing Address
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Address Line | 332 PAYNE RD
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City | GARDENDALE
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State | AL
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Zip | 35071-2516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. KAYLA LYNN KENT
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Credential | M.ED., ALC, NCC
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Telephone | 205-201-1693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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