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General NPI Number Information
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NPI Number | 1578956413
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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 | 03/17/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 481 S PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-2751
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Country | US
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Telephone | 864-612-1147
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Fax |
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Provider Business Mailing Address
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Address Line | 481 S PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-2751
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Country | US
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Telephone | 864-612-1147
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT/CO-OWNER
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Name | AMANDA SUN
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Credential | LMFT
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Telephone | 864-612-1147
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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 | 4601
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License Number State | SC
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