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General NPI Number Information
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NPI Number | 1023833100
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Entity Type | Organization
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Legal Business Name | AWARENESS AND THERAPEUTIC ATTACHMENT ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 614 BLACK GATES RD
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City | WILMINGTON
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State | DE
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Zip | 19803-2240
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Country | US
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Telephone | 302-530-9520
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Fax |
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Provider Business Mailing Address
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Address Line | 1053 COUNTRY CLUB RD
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City | WEST CHESTER
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State | PA
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Zip | 19382-8060
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Country | US
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Telephone | 302-530-9520
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETH B DONOVAN
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Credential | LPCMH
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Telephone | 302-530-9520
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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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