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General NPI Number Information
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NPI Number | 1902612765
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Entity Type | Organization
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Legal Business Name | ATTUNED HEALING THERAPY CENTER
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2302 CHOWNING PL
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City | RICHMOND
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State | VA
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Zip | 23294-4005
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Country | US
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Telephone | 804-803-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 WILLOW LAWN DR STE 304
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City | RICHMOND
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State | VA
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Zip | 23230-3423
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Country | US
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Telephone | 804-803-3306
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICIAN
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Name | MRS. KRISTINE MADU
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Credential | LCSW
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Telephone | 804-803-3306
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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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