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General NPI Number Information
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NPI Number | 1265169874
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS ANIMAL ASSISTED THERAPY, PLLC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 7904 W 99TH PL
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City | PALOS HILLS
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State | IL
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Zip | 60465-1507
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Country | US
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Telephone | 708-646-0369
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Fax |
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Provider Business Mailing Address
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Address Line | 7904 W 99TH PL
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City | PALOS HILLS
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State | IL
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Zip | 60465-1507
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Country | US
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Telephone | 708-646-0369
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MS. LAURA STONE
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Credential | CPC, CPB
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Telephone | 815-768-0158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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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Taxonomy #3
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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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