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General NPI Number Information
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NPI Number | 1275311375
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Entity Type | Organization
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Legal Business Name | HEALING PATHWAYS THERAPY CENTER LLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1800 NEW RD STE 100
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City | NORTHFIELD
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State | NJ
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Zip | 08225-2017
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Country | US
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Telephone | 609-338-3021
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Fax |
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Provider Business Mailing Address
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Address Line | 208 JACKSON AVE
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1920
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Country | US
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Telephone | 609-338-3021
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MS. KRISTIN LEES
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Credential | LCSW
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Telephone | 609-338-3021
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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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