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General NPI Number Information
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NPI Number | 1598193641
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Entity Type | Organization
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Legal Business Name | HEALING PATH COUNSELING, INC.
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 1415 RICHLAND ST.
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City | COLUMBIA
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State | SC
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Zip | 29201-2519
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Country | US
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Telephone | 803-260-0673
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 RICHLAND ST.
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City | COLUMBIA
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State | SC
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Zip | 29201-2519
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Country | US
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Telephone | 803-260-0673
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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. ELLEN P. MITCHELL
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Credential | LISW-CP
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Telephone | 803-260-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8447
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License Number State | SC
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