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General NPI Number Information
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NPI Number | 1366997991
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Entity Type | Organization
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Legal Business Name | HEALING PATHWAYS PSYCHOTHERAPY
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 301 MCCULLOUGH DR SUITE 400
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City | CHARLOTTE
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State | NC
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Zip | 28262-3310
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Country | US
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Telephone | 704-448-3766
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Fax |
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Provider Business Mailing Address
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Address Line | 3566 LARKHAVEN AVE SW
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City | CONCORD
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State | NC
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Zip | 28027-2720
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Country | US
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Telephone | 704-448-3755
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | MRS. MICHELLE LYNN PARROM
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Credential | MBA, MA, LMFTA
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Telephone | 704-448-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11006A
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License Number State | NC
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