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General NPI Number Information
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NPI Number | 1730697475
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Entity Type | Organization
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Legal Business Name | INNER HEALING SOLUTIONS, INC.
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 213 PATTON DR STE A
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City | SHELBY
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State | NC
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Zip | 28150-4696
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Country | US
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Telephone | 704-466-3022
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Fax | 844-272-6196
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Provider Business Mailing Address
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Address Line | 213 PATTON DR STE A
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City | SHELBY
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State | NC
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Zip | 28150-4696
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Country | US
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Telephone | 704-466-3022
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Fax | 844-272-6196
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Authorized Official
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Title or Position | OUTPATIENT THERAPIST
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Name | AMIA CHINON BRISCOE
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Credential | MA, LCMHCS, LCAS-A
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Telephone | 704-466-3022
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9869
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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