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General NPI Number Information
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NPI Number | 1306632260
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Entity Type | Organization
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Legal Business Name | THE HEALING VILLAGE INC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 467
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone | 719-505-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 685 CITADEL DR E STE 467
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone | 832-382-1237
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | DR. THALIA LAEL MICAH
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Credential | L.AC., DIPL.AC., DAC
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Telephone | 832-382-1237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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