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General NPI Number Information
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NPI Number | 1538695622
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Entity Type | Organization
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Legal Business Name | HEALING BALM THERAPY LLC
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 7900 OLD YORK RD STE 114A
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City | ELKINS PARK
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State | PA
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Zip | 19027-2324
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Country | US
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Telephone | 267-259-4141
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Fax | 215-277-7992
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Provider Business Mailing Address
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Address Line | 6030 N 2ND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1901
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Country | US
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Telephone | 267-259-4141
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Fax | 215-277-7992
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Authorized Official
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Title or Position | OWNER
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Name | MS. RENEE DARCELL FRIERSON-BRISCOE
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Credential | LPC, LMFT
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Telephone | 267-259-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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