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General NPI Number Information
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NPI Number | 1245094721
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Entity Type | Organization
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Legal Business Name | HEALING HOUSE COUNSELING AND BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 800 N 100 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-5577
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Country | US
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Telephone | 801-918-6774
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Fax |
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Provider Business Mailing Address
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Address Line | 417 SLATE DR
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City | SANTAQUIN
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State | UT
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Zip | 84655-5707
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Country | US
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Telephone | 208-240-7178
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS HOUSTON
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Credential |
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Telephone | 801-918-6774
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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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