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General NPI Number Information
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NPI Number | 1932064367
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Entity Type | Organization
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Legal Business Name | MA HEALING THERAPY
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 530 ROUTE 111 # 333
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City | HAUPPAUGE
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State | NY
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Zip | 11788-4346
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Country | US
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Telephone | 631-686-4418
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Fax |
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Provider Business Mailing Address
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Address Line | 530 ROUTE 111 # 333
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City | HAUPPAUGE
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State | NY
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Zip | 11788-4346
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Country | US
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Telephone | 631-686-4418
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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 | MRS. MIRIAM CHAVELY ARTHUR
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Credential | LCSW, IMH-DP, IMH-E
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Telephone | 631-686-4418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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