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General NPI Number Information
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NPI Number | 1275479693
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Entity Type | Organization
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Legal Business Name | THE HEALING HOLLER LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1960 PIEDMONT CT
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City | MASCOTTE
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State | FL
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Zip | 34753-9501
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Country | US
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Telephone | 407-401-2917
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 PIEDMONT CT
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City | MASCOTTE
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State | FL
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Zip | 34753-9501
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Country | US
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Telephone | 407-401-2917
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | BETTY L SANGLE
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Credential | LMHC
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Telephone | 407-401-2917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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