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General NPI Number Information
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NPI Number | 1831059112
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Entity Type | Organization
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Legal Business Name | EMBODIED HEALING THERAPY
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 410 N 48TH ST APT A
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City | SEATTLE
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State | WA
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Zip | 98103-6476
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Country | US
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Telephone | 978-766-9250
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SMITH ST APT D
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City | SEATTLE
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State | WA
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Zip | 98109-1842
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Country | US
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Telephone | 978-766-9250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN M STEWART
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Credential |
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Telephone | 978-766-9250
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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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