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General NPI Number Information
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NPI Number | 1902597479
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Entity Type | Organization
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Legal Business Name | HEALING MINDS PLLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 3201 LANDOVER ST APT 916
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City | ALEXANDRIA
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State | VA
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Zip | 22305-1923
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Country | US
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Telephone | 571-572-9506
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 LANDOVER ST APT 916
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City | ALEXANDRIA
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State | VA
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Zip | 22305-1923
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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 | CLINICAL SOCIAL WORKER
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Name | MICHAELA FITZGERALD
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Credential | LICSW
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Telephone | 631-456-9838
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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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