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General NPI Number Information
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NPI Number | 1740834746
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Entity Type | Organization
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Legal Business Name | HEART TO HEART THERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 716 ANDERSON ST STE B
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City | BELTON
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State | SC
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Zip | 29627-2148
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Country | US
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Telephone | 864-933-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 BETHANY CHURCH RD
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City | BELTON
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State | SC
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Zip | 29627-9112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | JAN D BANISTER
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Credential |
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Telephone | 864-933-0793
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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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