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General NPI Number Information
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NPI Number | 1700233319
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Entity Type | Organization
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Legal Business Name | HEALING MINDS AND HEARTS SERVICES
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 4560 CRAIN HWY SUITE 5
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3015
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Country | US
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Telephone | 240-349-2507
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Fax | 301-874-3089
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Provider Business Mailing Address
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Address Line | 4560 CRAIN HWY SUITE 5
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City | WHITE PLAINS
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State | MD
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Zip | 20695-3015
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Country | US
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Telephone | 240-349-2507
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Fax | 301-874-3089
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Authorized Official
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Title or Position | OWNER
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Name | SABRENA BARNES-MCALLISTER
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Credential | LCSW-C
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Telephone | 240-349-2507
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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 | 17506
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License Number State | MD
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