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General NPI Number Information
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NPI Number | 1366815268
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Entity Type | Organization
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Legal Business Name | HORSE POWERED HEALING, LLC
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 429 MURRAY ST STE 1
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8300
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Country | US
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Telephone | 318-269-5145
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Fax | 318-448-2488
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Provider Business Mailing Address
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Address Line | 5932 W AUSTIN DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3787
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Country | US
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Telephone | 318-229-6236
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR/OWN
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Name | KORY MARLENE WOOD
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Credential | LPC
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Telephone | 318-229-6236
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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 | 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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