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General NPI Number Information
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NPI Number | 1770383044
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Entity Type | Organization
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Legal Business Name | LIMINAL HEALING PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 214 NEW BRIDGE ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4737
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Country | US
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Telephone | 910-333-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 521 YOPP RD # PNB234
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City | JACKSONVILLE
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State | NC
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Zip | 28540-3595
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Country | US
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Telephone | 910-333-2422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MALENA GOODNIGHT
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Credential |
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Telephone | 910-333-2422
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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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