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General NPI Number Information
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NPI Number | 1932560927
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Entity Type | Organization
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Legal Business Name | HEAVENLY TOUCH COUNSELING SERVICE LLC.
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 1035 GUSTAVO LN
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City | PETERSBURG
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State | VA
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Zip | 23805-2356
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Country | US
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Telephone | 804-490-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 GUSTAVO LN
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City | PETERSBURG
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State | VA
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Zip | 23805-2356
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Country | US
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Telephone | 804-490-2021
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Fax |
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Authorized Official
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Title or Position | CEO/ ADMINISTRATOR
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Name | DR. ANTONIO Q ARNOLD
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Credential | D.D., M.DIV.
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Telephone | 804-490-2021
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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 | VA
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