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General NPI Number Information
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NPI Number | 1447010236
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Entity Type | Organization
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Legal Business Name | I AM HEALING THERAPY AND WELLNESS CONSULTING PLLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1795 CEDAR ST STE K
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City | HOLT
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State | MI
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Zip | 48842-1865
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Country | US
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Telephone | 517-927-7117
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 854
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City | OKEMOS
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State | MI
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Zip | 48805-0854
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Country | US
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Telephone | 517-927-7117
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Fax | 517-258-2951
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Authorized Official
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Title or Position | LMSW
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Name | STEPHANIE MCCANN
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Credential |
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Telephone | 989-859-7852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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