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General NPI Number Information
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NPI Number | 1366259459
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Entity Type | Organization
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Legal Business Name | HEARTSONG COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 6833 82ND ST STE 102
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City | LUBBOCK
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State | TX
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Zip | 79424-5070
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Country | US
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Telephone | 806-416-7175
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Fax |
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Provider Business Mailing Address
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Address Line | 5006 100TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-5718
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Country | US
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Telephone | 806-549-1593
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY RUTHARDT
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Credential | M.S., LPC
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Telephone | 806-549-1593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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