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General NPI Number Information
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NPI Number | 1538050794
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Entity Type | Organization
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Legal Business Name | HEART COUNSELING PLLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 504 MADISON ST SE
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City | WATERTOWN
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State | MN
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Zip | 55388-9264
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Country | US
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Telephone | 952-777-5265
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Fax |
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Provider Business Mailing Address
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Address Line | 712 VISTA BLVD # 171
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City | WACONIA
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State | MN
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Zip | 55387-4559
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Country | US
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Telephone | 952-777-5265
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | AMY LYNN NOAKES
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Credential | MA, LPCC
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Telephone | 952-777-5265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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