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General NPI Number Information
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NPI Number | 1750243168
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Entity Type | Organization
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Legal Business Name | YOUR HEALING PLACE
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 102 N 3RD ST
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City | WEST NEWTON
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State | PA
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Zip | 15089-1530
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Country | US
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Telephone | 724-263-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 2128 LAKE VIEW DR
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City | ROSTRAVER TOWNSHIP
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State | PA
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Zip | 15012-3614
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Country | US
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Telephone | 724-263-5077
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | JAMIE LEIGH ANDREWS
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Credential | LPC
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Telephone | 724-263-5077
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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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