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General NPI Number Information
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NPI Number | 1992162044
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Entity Type | Organization
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Legal Business Name | HOPE AND HEALING CENTER LLC
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 454 E MAIN ST
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City | ABINGDON
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State | VA
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Zip | 24210-3408
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Country | US
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Telephone | 276-300-4422
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Fax | 833-276-0046
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Provider Business Mailing Address
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Address Line | 454 E MAIN ST
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City | ABINGDON
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State | VA
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Zip | 24210-3408
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Country | US
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Telephone | 276-300-4422
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Fax | 833-276-0046
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Authorized Official
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Title or Position | MANAGER
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Name | CINDY ADDISON
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Credential | LPC, LMFT
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Telephone | 276-300-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001297
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701005453
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009274
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License Number State | VA
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