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General NPI Number Information
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NPI Number | 1548632474
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Entity Type | Organization
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Legal Business Name | HEALING SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 28 SCHOOL ST
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City | EAST GRANBY
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State | CT
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Zip | 06026-9769
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Country | US
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Telephone | 860-880-2781
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8390
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City | MANCHESTER
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State | CT
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Zip | 06040-0390
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Country | US
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Telephone | 860-575-0451
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. ANN THERESE HAYDU
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Credential | LCSW
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Telephone | 860-880-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 005360
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License Number State | CT
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