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General NPI Number Information
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NPI Number | 1225656580
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Entity Type | Organization
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Legal Business Name | HEALING SOULUTIONS THERAPY, LLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 8801 FOLSOM BLVD STE 265
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City | SACRAMENTO
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State | CA
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Zip | 95826-3250
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Country | US
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Telephone | 916-459-1679
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Fax | 916-647-0141
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Provider Business Mailing Address
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Address Line | 8801 FOLSOM BLVD STE 265
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City | SACRAMENTO
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State | CA
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Zip | 95826-3250
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Country | US
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Telephone | 916-459-1679
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Fax | 916-647-0141
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Authorized Official
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Title or Position | FOUNDER/MEMBER
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Name | DESTINY ROBBINS
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Credential | LCSW
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Telephone | 916-236-9409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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