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General NPI Number Information
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NPI Number | 1386458412
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Entity Type | Organization
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Legal Business Name | HEARTHSTONE COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 998 S NEW HOPE RD
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City | GASTONIA
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State | NC
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Zip | 28054-5830
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Country | US
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Telephone | 714-833-7364
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Fax |
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Provider Business Mailing Address
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Address Line | 2797 SAWBRIDGE LN
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City | GASTONIA
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State | NC
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Zip | 28056-7581
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Country | US
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Telephone | 714-833-7364
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | TILLIE MITCHELL
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Credential |
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Telephone | 714-833-7364
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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 |
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License Number State |
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