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General NPI Number Information
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NPI Number | 1902612476
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Entity Type | Organization
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Legal Business Name | HEALING COUNSEL CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 39 HADLEY RD STE 100
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City | GREENVILLE
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State | PA
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Zip | 16125-1239
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Country | US
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Telephone | 814-550-4969
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Fax |
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Provider Business Mailing Address
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Address Line | 10370 THOMAS RD
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City | ATLANTIC
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State | PA
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Zip | 16111-1344
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Country | US
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Telephone | 814-550-4969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORRINE WISE
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Credential | LPC
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Telephone | 814-853-2358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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