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General NPI Number Information
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NPI Number | 1225819295
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Entity Type | Organization
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Legal Business Name | HEARTFUL WAY COUNSELING, LLC
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 7061 CORPORATE WAY STE 205
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City | CENTERVILLE
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State | OH
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Zip | 45459-4273
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Country | US
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Telephone | 937-858-6281
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Fax | 937-998-3964
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Provider Business Mailing Address
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Address Line | 2234 ENGLISH OAK CT
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City | MIAMISBURG
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State | OH
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Zip | 45342-4548
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Country | US
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Telephone | 937-858-6281
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Fax | 937-998-3964
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY M B CHOUTEAU
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Credential | MS, LPCC-S
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Telephone | 937-858-6281
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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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