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General NPI Number Information
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NPI Number | 1235863002
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Entity Type | Organization
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Legal Business Name | HEALING THERAPY LLC
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 3611 LAREDO DR
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City | LEXINGTON
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State | KY
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Zip | 40517
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Country | US
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Telephone | 606-273-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 SIR BARTON WAY SUITE 140 #1107
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City | LEXINGTON
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State | KY
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Zip | 40509-2437
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Country | US
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Telephone | 606-273-3290
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA HERRING
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Credential | LPCC-S, LCADC
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Telephone | 606-273-3290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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