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General NPI Number Information
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NPI Number | 1568286417
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Entity Type | Organization
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Legal Business Name | HEAD AND HEART COUNSELING, PLLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 612 N GREENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-2024
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Country | US
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Telephone | 865-414-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 3483 BORUM DR
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City | WINSTON SALEM
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State | NC
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Zip | 27107-4501
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Country | US
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Telephone | 865-414-0099
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANNA GRACE FERNANDEZ
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Credential | LCSW
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Telephone | 865-414-0099
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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 |
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License Number State |
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