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General NPI Number Information
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NPI Number | 1710777917
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Entity Type | Organization
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Legal Business Name | CLAY HEARTS COUNSELING
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 837 W JAMES LEE BLVD
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City | CRESTVIEW
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State | FL
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Zip | 32536-5134
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Country | US
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Telephone | 850-737-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 6072 WALK ALONG WAY
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City | CRESTVIEW
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State | FL
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Zip | 32536-4459
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Country | US
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Telephone | 850-737-5731
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | SARAH LYNN WILLIAMS
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Credential | LCSW
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Telephone | 850-737-5731
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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 |
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License Number State |
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