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NPI Code Detail

MEDICARE: INTUIT HEALING CO.

MEDICARE: INTUIT HEALING CO.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073272712
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTUIT HEALING CO.
Provider Business Mailing Address
First Line : 2514 W ARMITAGE AVE # 211
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2514 W ARMITAGE AVE # 211
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5970
Country : US
Telephone Number : 773-697-9278
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CAMERON LACY
Credential :
Telephone Number : 309-210-8057
Provider Enumeration Date : 12/09/2021
Last Update Date : 12/09/2021

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Directions to “INTUIT HEALING CO. ” Practice Location

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