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NPI 1518639095

NPI 1518639095 : A HEALING PRESENCE : GREENWOOD, SC

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General NPI Number Information
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    NPI Number           |    1518639095
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    Entity Type          |    Organization 
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    Legal Business Name  |    A HEALING PRESENCE 
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Dates
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    Enumeration Date     |    10/02/2021
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    853 BYPASS 72 NW 
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29649-1203
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    Country              |    US
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    Telephone            |    864-519-0054
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    Fax                  |    864-383-1066
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Provider Business Mailing Address
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    Address Line         |    311 PINE TREE DR 
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29649-9119
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    Country              |    US
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    Telephone            |    864-993-1364
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHIATRIC NURSE PRACTITIONER
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    Name                 |     CAITLIN SOWELL JENNINGS 
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    Credential           |    PMHNP
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    Telephone            |    864-519-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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