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General NPI Number Information
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NPI Number | 1013776939
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Entity Type | Organization
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Legal Business Name | HOLISTIC PATH WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 426 SCRABBLETOWN RD STE C
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-3649
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Country | US
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Telephone | 401-477-9922
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Fax |
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Provider Business Mailing Address
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Address Line | 21 LANTERN LN
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City | EXETER
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State | RI
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Zip | 02822-3601
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Country | US
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Telephone | 401-477-9922
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MEGAN MARIE BRADLEY
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Credential | LMHC
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Telephone | 401-477-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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