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General NPI Number Information
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NPI Number | 1508635152
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS COUNSELING SERVICES
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 101 2ND AVE SOUTH
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City | HAILEY
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State | ID
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Zip | 83333-8333
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Country | US
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Telephone | 928-699-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 820 S MAIN ST UNIT 2205
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City | HAILEY
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State | ID
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Zip | 83333-6280
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Country | US
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Telephone | 928-699-3801
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAIGE BRUCE
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Credential | LCPC
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Telephone | 928-699-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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