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General NPI Number Information
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NPI Number | 1700740958
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Entity Type | Organization
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Legal Business Name | HEALING CHILDREN, LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 750 E WARM SPRINGS AVE
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City | BOISE
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State | ID
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Zip | 83712-6475
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Country | US
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Telephone | 888-311-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 770 S 13TH ST # 6802
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City | BOISE
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State | ID
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Zip | 83708-0001
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Country | US
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Telephone | 888-311-1883
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MISS TRACI LYNN GLOVER
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Credential | M.ED., LSW, LPC
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Telephone | 888-311-1883
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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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