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General NPI Number Information
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NPI Number | 1942598529
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Entity Type | Organization
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Legal Business Name | WELL BEING HEALING ARTS
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 3580 INDIAN QUEEN LN
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1540
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Country | US
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Telephone | 267-975-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 2702 POPLAR ST
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1221
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Country | US
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Telephone | 267-975-4426
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Fax |
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Authorized Official
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Title or Position | STEWARD
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Name | HEATHER L KILROY
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Credential | MA, BC-DMT, NCC, LPC
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Telephone | 267-975-4426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC002345
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License Number State | PA
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