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General NPI Number Information
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NPI Number | 1740876713
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Entity Type | Organization
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Legal Business Name | HOLISTIC EXPRESSION AND CONSULTATION SERVICES
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 1 W WILLIAMSBURG RD
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City | SANDSTON
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State | VA
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Zip | 23150-2009
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Country | US
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Telephone | 804-322-9796
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Fax | 804-276-4504
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Provider Business Mailing Address
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Address Line | 8300 SIR LIONEL PL
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23237-4727
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Country | US
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Telephone | 860-794-7103
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISHONA HENRY
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Credential | LPC,RN
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Telephone | 860-794-7103
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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