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General NPI Number Information
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NPI Number | 1225974561
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Entity Type | Organization
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Legal Business Name | LIVING WELL AND HEALING THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 8692 KENYON CT NE UNIT A
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City | BLAINE
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State | MN
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Zip | 55449-7433
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Country | US
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Telephone | 612-293-8339
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Fax |
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Provider Business Mailing Address
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Address Line | 716 COUNTY ROAD 10 NE UNIT 157
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City | BLAINE
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State | MN
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Zip | 55434-2331
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Country | US
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Telephone | 612-293-8339
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Fax |
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Authorized Official
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Title or Position | OWNER AND OUTPATIENT THERAPIST
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Name | DON MICHAEL COLEMAN
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Credential | LICSW
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Telephone | 612-251-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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