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General NPI Number Information
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NPI Number | 1255786992
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Entity Type | Organization
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Legal Business Name | HEALING WINGS COUNSELING & CONSULTATION, LLC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 96 W WILLIAM ST
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City | DELAWARE
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State | OH
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Zip | 43015-2305
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Country | US
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Telephone | 740-417-3195
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Fax | 888-974-3695
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Provider Business Mailing Address
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Address Line | 96 W WILLIAM ST
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City | DELAWARE
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State | OH
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Zip | 43015-2305
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Country | US
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Telephone | 740-417-3195
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Fax | 888-974-3695
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. DENISE ELIZABETH FETTERS
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Credential | LPCC-S, NCC
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Telephone | 740-417-3195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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