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General NPI Number Information
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NPI Number | 1770442832
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Entity Type | Organization
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Legal Business Name | OPEN CANOPY HEALTH PLLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 10 ALEXANDER ST
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-6111
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Country | US
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Telephone | 305-298-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ALEXANDER ST
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-6111
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Country | US
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Telephone | 305-298-2858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAITLIN ELIZABETH HETTICH
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Credential | LCSW, LCAS, CSI
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Telephone | 305-298-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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