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General NPI Number Information
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NPI Number | 1316337033
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Entity Type | Organization
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Legal Business Name | HEART TO HEART COUNSELING AND WELLNESS CENTER
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 1830 OWEN DR SUITE 10
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1611
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Country | US
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Telephone | 910-382-3594
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 WAR ADMIRAL CT
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City | PARKTON
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State | NC
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Zip | 28371-9059
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Country | US
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Telephone | 910-382-3594
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHENAE LASANDRA WHITEHEAD
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Credential | MA, LPC
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Telephone | 910-382-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8992
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License Number State | NC
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