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General NPI Number Information
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NPI Number | 1841080264
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Entity Type | Organization
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Legal Business Name | HEARTH INITIATIVE CORPORATION
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1840 N DR MARTIN LUTHER KING DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-3640
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Country | US
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Telephone | 414-296-1271
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 N DR MARTIN LUTHER KING DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-3640
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Country | US
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Telephone | 414-296-1271
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/ CHILDCARE PARTNER
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Name | MRS. TAKYHA M CLAY
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Credential | MBA
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Telephone | 414-296-1271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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