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General NPI Number Information
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NPI Number | 1396545547
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Entity Type | Organization
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Legal Business Name | HEAD & HEART ALIGN LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 3433 AGLER RD STE 2000
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City | COLUMBUS
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State | OH
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Zip | 43219-3397
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Country | US
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Telephone | 614-450-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 3433 AGLER RD STE 1000
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City | COLUMBUS
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State | OH
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Zip | 43219-3387
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Country | US
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Telephone | 614-450-2225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSICA GREEN-BURNS
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Credential | PMHNP
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Telephone | 614-450-2225
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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