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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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