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General NPI Number Information
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NPI Number | 1225366131
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Entity Type | Organization
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Legal Business Name | THE HEALING CONNECTION, INC.
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1320 UNIVERSITY AVE
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City | ROCHESTER
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State | NY
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Zip | 14607-1622
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Country | US
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Telephone | 585-641-0281
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Fax | 585-641-0286
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Provider Business Mailing Address
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Address Line | FAIRPORT OFFICE PARK SUITE 1000D
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City | FAIRPORT
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State | NY
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Zip | 14450-2003
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Country | US
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Telephone | 585-641-0281
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Fax | 585-641-0286
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Authorized Official
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Title or Position | CEO/CLINICAL DIRECTOR
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Name | DR. MARY TANTILLO
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Credential | PHD PMHCNS-BC
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Telephone | 585-641-0281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 8171001A
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 8171001A
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License Number State | NY
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