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General NPI Number Information
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NPI Number | 1437798329
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Entity Type | Organization
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Legal Business Name | HEALING AND CHANGE PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 12/25/2019
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Last Update Date | 12/25/2019
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Provider Practice Location Address
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Address Line | 3950 CHAIN BRIDGE RD STE 5
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City | FAIRFAX
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State | VA
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Zip | 22030-3936
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Country | US
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Telephone | 303-717-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 7849 GLENISTER DR
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City | SPRINGFIELD
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State | VA
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Zip | 22152-2007
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Country | US
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Telephone | 303-717-9517
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | TAMAR ARES
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Credential | MA, LPC
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Telephone | 303-717-9517
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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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