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NPI 1356787303

NPI 1356787303 : HEALING THERAPY SERVICES LLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1356787303
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALING THERAPY SERVICES LLC 
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Dates
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    Enumeration Date     |    05/17/2013
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    Last Update Date     |    05/17/2013
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Provider Practice Location Address
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    Address Line         |    4800 N 10TH ST SUITE D
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-2709
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    Country              |    US
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    Telephone            |    956-668-1488
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    Fax                  |    956-668-1498
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Provider Business Mailing Address
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    Address Line         |    4800 N 10TH ST SUITE D
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-2709
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    Country              |    US
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    Telephone            |    956-668-1488
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    Fax                  |    956-668-1498
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. VERONICA DEANDA CANO 
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    Credential           |    LCSW
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    Telephone            |    956-648-1072
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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       |    32747
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    License Number State |    TX
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