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General NPI Number Information
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NPI Number | 1346718426
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Entity Type | Organization
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Legal Business Name | HEALING TREE COUNSELING
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 872 S GROVE ST STE LL
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City | YPSILANTI
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State | MI
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Zip | 48198-6300
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Country | US
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Telephone | 734-707-9063
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Fax |
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Provider Business Mailing Address
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Address Line | 28480 SHERWOOD RD
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City | BELLEVILLE
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State | MI
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Zip | 48111-8858
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Country | US
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Telephone | 734-707-9063
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Fax |
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Authorized Official
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Title or Position | OWNER / LMSW
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Name | ANDREA BURR
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Credential | LMSW
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Telephone | 734-707-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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