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General NPI Number Information
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NPI Number | 1407422785
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Entity Type | Organization
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Legal Business Name | HEALING HART WELLNESS LLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 260 GATEWAY DR STE 1A
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City | BEL AIR
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State | MD
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Zip | 21014-4266
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Country | US
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Telephone | 443-594-2626
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Fax | 443-594-2666
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Provider Business Mailing Address
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Address Line | 260 GATEWAY DR STE 1A
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City | BEL AIR
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State | MD
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Zip | 21014-4266
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Country | US
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Telephone | 301-922-6445
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Fax | 443-594-2666
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Authorized Official
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Title or Position | OWNER, CLINICAL THERAPIST
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Name | COURTNEY HART
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Credential | LCSW-C
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Telephone | 443-594-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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