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General NPI Number Information
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NPI Number | 1811722739
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Entity Type | Organization
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Legal Business Name | HK HEALING LLC
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1820 HILLCREST AVE
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City | LAKE WORTH
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State | FL
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Zip | 33461-6042
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Country | US
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Telephone | 321-439-1497
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 HILLCREST AVE
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City | LAKE WORTH
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State | FL
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Zip | 33461-6042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | HEATHER KAY IRBY
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Credential |
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Telephone | 321-439-1497
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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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