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General NPI Number Information
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NPI Number | 1619754850
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Entity Type | Organization
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Legal Business Name | HEART, HOPE AND HEALING, LLC
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 2365 WALL ST SE STE 200-04
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City | CONYERS
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State | GA
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Zip | 30013-2197
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Country | US
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Telephone | 404-890-0125
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 GEORGIA HIGHWAY 20 SE STE 114
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City | CONYERS
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State | GA
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Zip | 30013-2076
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Country | US
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Telephone | 404-890-0125
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Fax | 770-470-0099
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Authorized Official
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Title or Position | OWNER
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Name | ANGEL HAYE
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Credential | LPC
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Telephone | 404-890-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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