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General NPI Number Information
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NPI Number | 1306590146
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Entity Type | Organization
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Legal Business Name | HEALING MIND WELLNESS AND PSYCHOLOGY CENTER INC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD STE 211
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City | ENCINO
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State | CA
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Zip | 91436-1938
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Country | US
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Telephone | 818-205-1200
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Fax | 818-205-1254
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Provider Business Mailing Address
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Address Line | 24040 KILLION ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-5726
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Country | US
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Telephone | 818-205-1200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEHRNOOSH REZAPOUR
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Credential | MD
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Telephone | 818-205-1200
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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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