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General NPI Number Information
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NPI Number | 1265118269
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Entity Type | Organization
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Legal Business Name | INTUITIVE HEALING THERAPY, PLLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 200 S WENONA ST STE 255
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City | BAY CITY
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State | MI
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Zip | 48706-8820
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Country | US
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Telephone | 989-402-8601
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S WENONA ST STE 255
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City | BAY CITY
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State | MI
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Zip | 48706-8820
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Country | US
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Telephone | 989-402-8601
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | WHITNEY M WENGLIKOWSKI
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Credential | LMSW, CCTP
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Telephone | 989-402-8601
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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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