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General NPI Number Information
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NPI Number | 1942139340
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Entity Type | Organization
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Legal Business Name | REBEL HEALER COUNSELING LLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 199 N WOODBURY RD STE 203A
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City | PITMAN
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State | NJ
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Zip | 08071-1275
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Country | US
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Telephone | 856-416-7406
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Fax | 856-754-5486
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Provider Business Mailing Address
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Address Line | 199 N WOODBURY RD STE 203A
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City | PITMAN
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State | NJ
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Zip | 08071-1275
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Country | US
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Telephone | 856-416-7406
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Fax | 856-754-5486
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | ELIZABETH NICOLE EALER
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Credential | LPC, LCADC
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Telephone | 856-649-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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