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General NPI Number Information
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NPI Number | 1861054512
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Entity Type | Organization
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Legal Business Name | WHOLE AND HOLY INTEGRATIVE WELLNESS LLC
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 166 S MAIN ST # 203
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2532
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Country | US
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Telephone | 717-746-8750
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Fax | 717-754-2844
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Provider Business Mailing Address
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Address Line | 166 S MAIN ST # 203
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2532
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Country | US
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Telephone | 717-746-8750
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Fax | 717-754-2844
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SUSAN L STEWART
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Credential | LMFT
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Telephone | 717-217-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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