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General NPI Number Information
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NPI Number | 1710557681
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Entity Type | Organization
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Legal Business Name | HOPE THROUGH HEALING THERAPY PLLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 2207 DELANEY DR
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City | BURLINGTON
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State | NC
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Zip | 27215-5263
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Country | US
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Telephone | 919-590-3586
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Fax | 336-586-5544
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Provider Business Mailing Address
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Address Line | 105 S WILLIAMSON AVE # 173
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City | ELON
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State | NC
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Zip | 27244-9204
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Country | US
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Telephone | 919-590-3586
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Fax | 336-586-5544
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Authorized Official
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Title or Position | LCMHCA
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Name | CASSANDRA OTERO
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Credential | LCMHCA, NCC, MA
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Telephone | 919-590-3586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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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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