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General NPI Number Information
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NPI Number | 1477047546
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Entity Type | Organization
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Legal Business Name | IN HARMONY WELLNESS IHW LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 4410 CLAIBORNE SQ E STE 334
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City | HAMPTON
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State | VA
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Zip | 23666-2074
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Country | US
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Telephone | 757-650-2953
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 METRO PKWY STE 205
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City | FORT MYERS
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State | FL
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Zip | 33916-9416
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Country | US
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Telephone | 239-223-2751
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | KRYSTAL ORTIZ
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Credential |
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Telephone | 239-980-4988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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