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General NPI Number Information
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NPI Number | 1780528364
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC HEALING SOURCE, A LICENSED CLINICAL SOCIAL WORK ORGANIZATION
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 468 MANZANITA AVE STE 7
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City | CHICO
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State | CA
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Zip | 95926-1358
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Country | US
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Telephone | 530-433-4376
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Fax | 530-399-5239
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Provider Business Mailing Address
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Address Line | 468 MANZANITA AVE STE 7 ADDRESS 2
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City | CHICO
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State | CA
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Zip | 95926-1358
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Country | US
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Telephone | 530-433-4376
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Fax | 530-399-5239
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Authorized Official
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Title or Position | CEO/PRESIDENT/PROVIDER
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Name | NICOLE DANIELLE COX
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Credential | LCSW
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Telephone | 530-433-4376
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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 |
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License Number State |
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