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General NPI Number Information
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NPI Number | 1780471565
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Entity Type | Organization
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Legal Business Name | EMBRACE YOUR HEALING THERAPY
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 2252 TOWER DR STE 108-163
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City | MONROE
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State | LA
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Zip | 71201-5764
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Country | US
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Telephone | 870-947-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 2252 TOWER DR STE 108-163
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City | MONROE
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State | LA
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Zip | 71201-5764
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Country | US
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Telephone | 870-947-0441
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | PAMELA NECOLE YOUNG
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Credential | LPC
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Telephone | 870-947-0441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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