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General NPI Number Information
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NPI Number | 1346916004
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Entity Type | Organization
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Legal Business Name | WARM MILK AND HONEY HEALING PSYCHOTHERAPY SERVICES, LLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 4365 E. PECOS RD STE 119, ROOM B
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City | GILBERT
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State | AZ
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Zip | 85295
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Country | US
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Telephone | 480-702-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 4365 E. PECOS RD STE 119, ROOM B
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City | GILBERT
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State | AZ
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Zip | 85295-3547
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Country | US
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Telephone | 480-702-1710
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Fax |
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Authorized Official
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Title or Position | OWNER / PSYCHOTHERAPIST
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Name | MS. SUZANNE R WALKER
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Credential | MSW, LCSW, LISW
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Telephone | 480-702-1710
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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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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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