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General NPI Number Information
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NPI Number | 1962910562
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Entity Type | Organization
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Legal Business Name | HEALING THERAPY CENTER PLLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | HEALING THERAPY 1919 NE 45TH STREET , SUITE 225
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City | FT. LAUDERALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 305-419-9565
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Fax | 561-491-7471
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Provider Business Mailing Address
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Address Line | HEALING THERAPY 9820 CORONADO LAKE DRIVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33437
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Country | US
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Telephone | 305-519-9565
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Fax | 561-491-7471
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DAHLIA BESS MICHELS
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Credential | LCSW 12141
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Telephone | 305-519-9565
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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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