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General NPI Number Information
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NPI Number | 1326659053
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Entity Type | Organization
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Legal Business Name | HEALING QUEST COUNSELING VILLAGES LLC
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 2744 MAIN RD
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City | FRANKLINVILLE
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State | NJ
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Zip | 08322-2006
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Country | US
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Telephone | 856-264-7811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26
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City | MALAGA
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State | NJ
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Zip | 08328-0026
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Country | US
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Telephone | 856-605-7332
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / THERAPIST
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Name | DESIREE GUYTON
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Credential | LPC
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Telephone | 856-264-7811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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