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General NPI Number Information
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NPI Number | 1437010402
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Entity Type | Organization
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Legal Business Name | THE HEALING PORCH LLC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 671 WINYAH DR
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City | ORLANDO
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State | FL
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Zip | 32803-1226
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Country | US
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Telephone | 386-272-2913
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Fax |
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Provider Business Mailing Address
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Address Line | 944 DELTONA BLVD UNIT 5196
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City | DELTONA
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State | FL
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Zip | 32728-7410
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Country | US
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Telephone | 407-853-1200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA CREWS
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Credential | PMHNP
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Telephone | 386-272-2913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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