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General NPI Number Information
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NPI Number | 1588548382
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Entity Type | Organization
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Legal Business Name | THE HEALING SPACE
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 111 W TELEGRAPH ST STE 108
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City | CARSON CITY
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State | NV
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Zip | 89703-4109
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Country | US
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Telephone | 775-453-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 111 W TELEGRAPH ST STE 108
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City | CARSON CITY
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State | NV
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Zip | 89703-4109
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Country | US
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Telephone | 775-453-4770
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Fax |
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Authorized Official
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Title or Position | LCSW/THERAPIST
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Name | JANEL MARIE SABORI-WOOD
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Credential | LCSW
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Telephone | 775-453-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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