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General NPI Number Information
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NPI Number | 1578274528
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Entity Type | Organization
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Legal Business Name | JOURNEY2HEALING, INC.
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 STE C-315
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 631-415-8024
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Fax |
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Provider Business Mailing Address
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Address Line | 129 BARCELONA DR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1314
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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 | OWNER
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Name | JAISY GUTIERREZ
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Credential | LCSW
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Telephone | 631-415-8024
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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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