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General NPI Number Information
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NPI Number | 1306738562
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Entity Type | Organization
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Legal Business Name | THE HEALING HIVE
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 659 N MARKET ST
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City | WICHITA
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State | KS
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Zip | 67214-3515
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Country | US
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Telephone | 316-201-6294
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Fax | 316-364-3020
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Provider Business Mailing Address
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Address Line | 659 N MARKET ST
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City | WICHITA
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State | KS
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Zip | 67214-3515
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Country | US
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Telephone | 316-201-6294
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Fax | 316-364-3020
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Authorized Official
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Title or Position | CREDENTIALING
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Name | LYDIA TILTON
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Credential |
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Telephone | 316-691-2966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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