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General NPI Number Information
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NPI Number | 1699583203
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Entity Type | Organization
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Legal Business Name | HOPE AND HEALING WELLNESS LLC
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 78 S MAIN ST
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City | POLAND
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State | OH
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Zip | 44514-1914
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Country | US
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Telephone | 740-504-8707
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Fax |
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Provider Business Mailing Address
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Address Line | 78 S MAIN ST
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City | POLAND
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State | OH
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Zip | 44514-1914
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Country | US
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Telephone | 740-504-8707
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/CEO
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Name | DR. CHARITY ANNE KURZ
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Credential | LPCC (OH), LPC (TX)
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Telephone | 740-504-8707
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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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