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General NPI Number Information
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NPI Number | 1710804075
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALING TO WELLNESS COUNSELING
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 210 S MAIN ST
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City | NEWTON
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State | MS
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Zip | 39345-2613
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Country | US
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Telephone | 601-900-8632
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | FOREST
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State | MS
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Zip | 39074-0117
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Country | US
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Telephone | 601-900-8632
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. MARQUITA LACHETTE WILSON
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Credential | M.ED., LPC, LGC, NCC
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Telephone | 601-900-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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