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General NPI Number Information
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NPI Number | 1457267825
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Entity Type | Organization
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Legal Business Name | HEALING WITH REINA LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 208 W 1ST ST
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City | RIDGELY
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State | MD
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Zip | 21660-2133
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Country | US
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Telephone | 443-228-8805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | RIDGELY
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State | MD
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Zip | 21660-0114
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Country | US
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Telephone | 443-228-8805
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | REINA RONQUILLO
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Credential | LCSW-C
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Telephone | 443-228-8805
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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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