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General NPI Number Information
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NPI Number | 1659228146
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Entity Type | Organization
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Legal Business Name | HEALING PLACE AT VERITAS PSC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 11723 STINSON AVE
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City | CHISAGO CITY
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State | MN
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Zip | 55013-9542
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Country | US
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Telephone | 651-367-9148
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Fax |
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Provider Business Mailing Address
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Address Line | 34888 KABLE AVE
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6765
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Country | US
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Telephone | 651-367-9148
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. SUSIE JOY BROOKS
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Credential | EDD, MA, LADC, LPCC
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Telephone | 651-367-9148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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