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General NPI Number Information
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NPI Number | 1497497135
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Entity Type | Organization
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Legal Business Name | SEEDS OF HEALING, PLLC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 3719 LATROBE DR STE 850L
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City | CHARLOTTE
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State | NC
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Zip | 28211-4827
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Country | US
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Telephone | 980-254-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 NELSON CT
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City | WADSWORTH
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State | IL
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Zip | 60083-8937
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Country | US
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Telephone | 980-254-6220
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST/CEO
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Name | BREAH M ROBINSON
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Credential | LCSWA
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Telephone | 773-786-7989
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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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