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General NPI Number Information
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NPI Number | 1750926580
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Entity Type | Organization
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Legal Business Name | THE HEALING PROJECT LLC
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Dates
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Enumeration Date | 11/15/2019
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 428 MCLAWS CIR STE 202A
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5654
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Country | US
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Telephone | 757-344-8682
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Fax |
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Provider Business Mailing Address
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Address Line | 109 HARVEST WAY
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City | YORKTOWN
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State | VA
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Zip | 23693-4449
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Country | US
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Telephone | 757-344-8682
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. KIMBERY PINTO
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Credential | LCSW
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Telephone | 757-344-8682
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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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