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General NPI Number Information
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NPI Number | 1023979242
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Entity Type | Organization
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Legal Business Name | FIRST STEP BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 77 ELM ST STE 202A&B
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City | AMESBURY
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State | MA
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Zip | 01913-2503
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Country | US
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Telephone | 978-955-7892
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Fax |
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Provider Business Mailing Address
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Address Line | 99 DERBY ST STE 300
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City | HINGHAM
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State | MA
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Zip | 02043-4216
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Country | US
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Telephone | 978-233-9597
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA KELLICKER
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Credential |
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Telephone | 978-270-4523
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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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