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General NPI Number Information
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NPI Number | 1457222663
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Entity Type | Organization
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Legal Business Name | HEARTFELT HEALING MARRIAGE AND FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 415-604-1344
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Fax |
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Provider Business Mailing Address
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Address Line | 5654 GEARY BLVD. #210032
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-0032
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SECRETARY, AND TREASURER
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Name | ANDREA ROTH
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Credential | LMFT
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Telephone | 415-604-1344
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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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