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General NPI Number Information
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NPI Number | 1669364048
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Entity Type | Organization
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Legal Business Name | CM HEART2SOUL, LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2513 S CALHOUN ST STE 102
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City | FORT WAYNE
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State | IN
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Zip | 46807-1305
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Country | US
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Telephone | 260-804-9563
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 E BELMONT DR
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City | FORT WAYNE
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State | IN
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Zip | 46806-5181
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Country | US
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Telephone | 260-804-9563
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE/MENTAL HEALTH COUN
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Name | MS. TAMARA D. FILES
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Credential | LMHC MA BSN RN
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Telephone | 260-804-9563
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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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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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