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General NPI Number Information
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NPI Number | 1508502212
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Entity Type | Organization
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Legal Business Name | HEALING MATTERS COUNSELING SERVICES
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 23862 COACH HOUSE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3668
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Country | US
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Telephone | 313-687-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 27160 SPRING ARBOR DR
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3541
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Country | US
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Telephone | 313-687-4455
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Fax |
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Authorized Official
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Title or Position | LICENSED SOCIAL WORKER
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Name | SHADAE MARIA PIERCE
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Credential | LMSW
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Telephone | 248-635-5787
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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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