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General NPI Number Information
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NPI Number | 1760733802
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Entity Type | Organization
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Legal Business Name | HYGEIA CENTER FOR HEALING ARTS
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 220 N 5TH AVE
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City | ANN ARBOR
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State | MI
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Zip | 48104-1195
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Country | US
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Telephone | 734-769-6100
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Fax | 734-761-8106
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Provider Business Mailing Address
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Address Line | 220 N 5TH AVE
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City | ANN ARBOR
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State | MI
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Zip | 48104-1195
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Country | US
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Telephone | 734-769-6100
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Fax | 734-761-8106
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Authorized Official
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Title or Position | MENTAL HEALTH PROGRAM DIRECTOR
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Name | MS. SIERRA HILLEBRAND
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Credential | M.A.
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Telephone | 734-769-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801064782
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6301015341
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301014066
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License Number State | MI
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