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General NPI Number Information
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NPI Number | 1841974664
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Entity Type | Organization
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Legal Business Name | HEALING HOUR LLC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 2634 HIGHWAY 109
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City | WILDWOOD
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State | MO
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Zip | 63040-1192
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Country | US
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Telephone | 314-565-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E CENTRAL ST
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City | PACIFIC
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State | MO
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Zip | 63069-2104
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Country | US
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Telephone | 314-565-2577
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. TAYLA MARIE GATSON
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Credential | LPC
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Telephone | 314-565-2577
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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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