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General NPI Number Information
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NPI Number | 1306633508
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Entity Type | Organization
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Legal Business Name | SACRED HOLISTIC HEALING,LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 29 N MARKET ST STE 300
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City | ASHEVILLE
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State | NC
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Zip | 28801-2924
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Country | US
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Telephone | 310-663-9517
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Fax | 828-579-2457
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Provider Business Mailing Address
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Address Line | 29 N MARKET ST STE 300
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City | ASHEVILLE
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State | NC
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Zip | 28801-2924
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Country | US
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Telephone | 310-663-9517
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Fax | 828-579-2457
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Authorized Official
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Title or Position | LCMHC
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Name | MICHAEL B CANTON
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Credential | LCMHC
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Telephone | 310-663-9517
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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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