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General NPI Number Information
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NPI Number | 1023822467
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Entity Type | Organization
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Legal Business Name | FLIP THE SWITCH COUNSELING LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 76 SUMMER ST
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City | FITCHBURG
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State | MA
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Zip | 01420-0200
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Country | US
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Telephone | 978-790-8799
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Fax |
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Provider Business Mailing Address
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Address Line | 122 CANTERBURY ST APT 2
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City | WORCESTER
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State | MA
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Zip | 01603-2835
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Country | US
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Telephone | 978-790-8799
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE/DIRECTOR
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Name | DAHEEM JIHAR RICHARDSON
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Credential | CARC/LDAC ASSISTANT
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Telephone | 978-790-8799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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