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General NPI Number Information
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NPI Number | 1407683964
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALING SOLUTIONS
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 12410 MILESTONE CENTER DR STE 600
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City | GERMANTOWN
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State | MD
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Zip | 20876-7102
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Country | US
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Telephone | 240-200-0708
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Fax |
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Provider Business Mailing Address
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Address Line | 12410 MILESTONE CENTER DR STE 600
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City | GERMANTOWN
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State | MD
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Zip | 20876-7102
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Country | US
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Telephone | 240-200-0708
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MRS. NICOLE MCANALLY-TURNER
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Credential | LCPC
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Telephone | 240-200-0708
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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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