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Organization
EVOLUTIONARY HOLISTIC HEALING
Active
Organization
EVOLUTIONARY HOLISTIC HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SCHREPF LMHC (OWNER)
(347) 387-2651
Entity
Organization
Contact information
Practice address
155 BROADWAY, KINGSTON, NY 12401-6057
(347) 387-2651
Mailing address
155 BROADWAY, KINGSTON, NY 12401-6057
(347) 387-2651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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