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General NPI Number Information
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NPI Number | 1669942942
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Entity Type | Organization
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Legal Business Name | HEALING WAY THERAPY, LLC
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 2236 CAPITAL CIR NE STE 201
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City | TALLAHASSEE
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State | FL
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Zip | 32308-8304
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Country | US
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Telephone | 850-270-7108
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Fax |
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Provider Business Mailing Address
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Address Line | 3250 ENDICOTT DR
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City | TALLAHASSEE
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State | FL
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Zip | 32311-3725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. HEIDI STROUT ABERNETHY
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Credential | MSW, LCSW
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Telephone | 850-766-6632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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