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General NPI Number Information
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NPI Number | 1487582938
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Entity Type | Organization
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Legal Business Name | HEALING YOUR HIDDEN HURTS WELLNESS COMMUNITY
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 14373 WORTHINGTON BLVD
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City | FISHERS
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State | IN
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Zip | 46038
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Country | US
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Telephone | 317-284-9267
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Fax |
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Provider Business Mailing Address
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Address Line | 9783 E 116TH ST # A384
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City | FISHERS
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State | IN
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Zip | 46037-2822
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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 | MEMBER
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Name | CAMISHE NUNLEY
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Credential |
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Telephone | 317-284-9267
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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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