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General NPI Number Information
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NPI Number | 1477344869
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Entity Type | Organization
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Legal Business Name | HEARTH & HEALING MENTAL HEALTH THERAPY LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 538 6TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3843
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Country | US
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Telephone | 740-721-3170
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Fax | 740-212-8589
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Provider Business Mailing Address
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Address Line | 538 6TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3843
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Country | US
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Telephone | 740-721-3170
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Fax | 740-212-8589
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN LIVINGSTON
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Credential | LISW-S
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Telephone | 740-250-3278
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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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