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General NPI Number Information
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NPI Number | 1558244269
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Entity Type | Organization
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Legal Business Name | EXPRESSIVE HEALING LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 404 BRUNN SCHOOL RD STE C
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City | SANTA FE
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State | NM
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Zip | 87505-1102
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Country | US
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Telephone | 505-234-6024
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Fax |
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Provider Business Mailing Address
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Address Line | 404 BRUNN SCHOOL RD STE C
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City | SANTA FE
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State | NM
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Zip | 87505-1102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | ELIZA DELANEY
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Credential | LPCC, ATR-BC
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Telephone | 505-234-6024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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