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General NPI Number Information
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NPI Number | 1437039369
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Entity Type | Organization
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Legal Business Name | HEALING IN GRACE, PLLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 104 E INDUSTRIAL BLVD STE C
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City | EARLY
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State | TX
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Zip | 76802-2275
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Country | US
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Telephone | 325-998-7706
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 4TH ST
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City | BROWNWOOD
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State | TX
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Zip | 76801-6506
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Country | US
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Telephone | 325-998-7706
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JENNIFER WALDROP
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Credential | LPC, LPC-S, SP
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Telephone | 325-998-7706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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