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General NPI Number Information
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NPI Number | 1861302002
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Entity Type | Organization
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Legal Business Name | HEAD HEART AND SOUL MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 1985 TATE BLVD SE STE 5
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City | HICKORY
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State | NC
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Zip | 28602-1433
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Country | US
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Telephone | 828-238-0644
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Fax |
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Provider Business Mailing Address
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Address Line | 308 1ST AVENUE PL NE
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City | CONOVER
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State | NC
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Zip | 28613-2215
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Country | US
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Telephone | 828-238-0644
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Fax |
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Authorized Official
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Title or Position | OWNER/OUTPATIENT COUNSELOR
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Name | MRS. KIMBERLY HARSHAW MATTHEWS HARSHAW
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Credential | LCMHCS
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Telephone | 828-238-0644
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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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