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General NPI Number Information
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NPI Number | 1427933753
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALING SLP
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 302 BLACK BUFFALO RD
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City | BASTROP
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State | TX
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Zip | 78602-2278
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Country | US
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Telephone | 830-515-3633
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Fax |
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Provider Business Mailing Address
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Address Line | 302 BLACK BUFFALO RD
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City | BASTROP
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State | TX
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Zip | 78602-2278
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Country | US
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Telephone | 512-798-3352
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Fax |
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Authorized Official
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Title or Position | CEO - OWNER & OPERATOR
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Name | MOIRA K GALLAGHER
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Credential | M.S.CCC-SLP
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Telephone | 512-798-3352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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