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General NPI Number Information
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NPI Number | 1861037368
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Entity Type | Organization
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Legal Business Name | HEALING THE SOUL, LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 110 PAINTERS MILL RD STE 213
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5543
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Country | US
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Telephone | 443-865-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 808 GLENEAGLES COURT, SUITE 1 - 42310
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City | TOWSON
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State | MD
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Zip | 21286
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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/MENTAL HEALTH THERAPIST
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Name | TERRI HILL
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Credential | LCSW-C
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Telephone | 443-865-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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