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General NPI Number Information
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NPI Number | 1396549622
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Entity Type | Organization
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Legal Business Name | HEART SPRING COUNSELING LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 42233 HIGHWAY 195
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City | HALEYVILLE
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State | AL
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Zip | 35565-7188
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Country | US
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Telephone | 205-495-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 COUNTY HIGHWAY 52
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City | GUIN
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State | AL
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Zip | 35563-4023
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Country | US
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Telephone | 205-495-2332
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. MAKAYLEE ROSE CARR
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Credential | LICSW
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Telephone | 205-495-2332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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