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General NPI Number Information
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NPI Number | 1629724612
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Entity Type | Organization
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Legal Business Name | HEALING WITH NO CEILING LLC
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 5950 CROOKED CREEK RD STE 170K
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2406
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Country | US
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Telephone | 740-561-3041
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Fax | 888-505-6039
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Provider Business Mailing Address
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Address Line | 5950 CROOKED CREEK RD STE 170K
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2406
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Country | US
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Telephone | 740-561-3041
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Fax | 888-505-6039
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Authorized Official
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Title or Position | LPC/OWNER
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Name | CA'LANDRA BENNETT
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Credential |
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Telephone | 740-561-3041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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