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General NPI Number Information
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NPI Number | 1699515924
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Entity Type | Organization
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Legal Business Name | HEALING RESOURCES MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1921 CARLISLE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4965
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Country | US
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Telephone | 505-225-8962
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Fax |
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Provider Business Mailing Address
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Address Line | 436 8TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-2330
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Country | US
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Telephone | 612-232-6902
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MINDY S GRUIDL
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Credential | LPCC
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Telephone | 612-232-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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