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General NPI Number Information
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NPI Number | 1275292179
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Entity Type | Organization
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Legal Business Name | BELONGING & HEALING THERAPY LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 101 E REDLANDS BLVD STE 234A
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City | REDLANDS
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State | CA
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Zip | 92373-4775
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Country | US
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Telephone | 909-302-0925
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Fax | 909-247-3319
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Provider Business Mailing Address
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Address Line | PO BOX 7698
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City | REDLANDS
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State | CA
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Zip | 92375-0698
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Country | US
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Telephone | 909-302-0925
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE N MCNEVIN
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Credential | LCSW
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Telephone | 909-302-0925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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