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General NPI Number Information
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NPI Number | 1821812785
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 30 HAMPTON AVE
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City | GREENVILLE
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State | SC
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Zip | 29601-1927
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Country | US
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Telephone | 864-729-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 508 BRENNA LN
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City | PIEDMONT
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State | SC
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Zip | 29673-8181
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Country | US
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Telephone | 864-567-9252
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | CHANDRA S MILLS
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Credential |
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Telephone | 864-567-9252
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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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