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General NPI Number Information
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NPI Number | 1578482865
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Entity Type | Organization
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Legal Business Name | HEARTHSIDE MFT LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 612 W HICKORY ST
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City | SYLACAUGA
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State | AL
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Zip | 35150-2942
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Country | US
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Telephone | 205-447-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 612 W HICKORY ST
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City | SYLACAUGA
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State | AL
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Zip | 35150-2942
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Country | US
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Telephone | 205-447-0075
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DAMON CHRISTIAN TURNER
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Credential | LMFTA
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Telephone | 256-207-5334
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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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