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General NPI Number Information
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NPI Number | 1225881949
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Entity Type | Organization
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Legal Business Name | HEAL & BLOOM THERAPY LLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 4265 OKEMOS RD STE C
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City | OKEMOS
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State | MI
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Zip | 48864-3285
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Country | US
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Telephone | 517-212-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 5487 MAPLE RDG
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City | HASLETT
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State | MI
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Zip | 48840-8651
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Country | US
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Telephone | 517-719-8899
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MEGAN L ALLISON
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Credential | LMSW
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Telephone | 517-719-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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