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General NPI Number Information
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NPI Number | 1467264143
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Entity Type | Organization
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Legal Business Name | HEALING COLLECTIVE PLLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 208 I ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4340
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Country | US
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Telephone | 202-240-2870
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Fax | 202-929-2833
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Provider Business Mailing Address
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Address Line | 208 I ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4340
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Country | US
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Telephone | 202-240-2870
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Fax | 202-929-2833
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | PHILLIP J LEWIS
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Credential | JD, BCD, LICSW
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Telephone | 202-240-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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