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General NPI Number Information
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NPI Number | 1396355194
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Entity Type | Organization
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Legal Business Name | THE HEALING SPACE COUNSELING AND WELLNESS CENTER
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 15 ELLIOTT STREET
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-637-0619
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Fax |
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Provider Business Mailing Address
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Address Line | 141 HAWKINS PL
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City | BOONTON
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State | NJ
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Zip | 07005-1127
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Country | US
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Telephone | 973-637-0619
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL DIRECTOR
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Name | ERIN SCOTT
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Credential |
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Telephone | 973-452-4048
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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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