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General NPI Number Information
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NPI Number | 1760364913
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Entity Type | Organization
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Legal Business Name | HEALING MIND AND SOUL THERAPY
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 10325 KLINGERMAN ST
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-2147
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Country | US
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Telephone | 626-669-8179
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6192
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City | EL MONTE
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State | CA
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Zip | 91734-6192
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Country | US
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Telephone | 626-669-8179
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | KIMBERLY HERNANDEZ
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Credential |
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Telephone | 626-315-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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