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General NPI Number Information
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NPI Number | 1912773391
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Entity Type | Organization
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Legal Business Name | HEALING FAMILY SOLUTIONS LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 1 BETHANY RD STE 78
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City | HAZLET
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State | NJ
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Zip | 07730-1668
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Country | US
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Telephone | 732-503-8058
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 12TH AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08757-2031
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Country | US
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Telephone | 732-503-8058
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | CASSANDRA GROD
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Credential | LCSW
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Telephone | 732-503-8058
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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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