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General NPI Number Information
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NPI Number | 1639947229
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Entity Type | Organization
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Legal Business Name | TRUE TO YOUR HEART HEALING LLC
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1226 W SOUTH JORDAN PKWY STE BB
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4641
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Country | US
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Telephone | 801-432-0564
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Fax |
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Provider Business Mailing Address
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Address Line | 5784 S 900 E STE 3
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City | MURRAY
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State | UT
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Zip | 84121-1689
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Country | US
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Telephone | 801-432-0564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICEN KETTENRING
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Credential |
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Telephone | 801-432-0564
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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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