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NPI 1053239509

NPI 1053239509 : SIMPLY YOU THERAPY LLC : SOMERVILLE, MA

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General NPI Number Information
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    NPI Number           |    1053239509
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIMPLY YOU THERAPY LLC 
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Dates
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    Enumeration Date     |    07/09/2026
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    Last Update Date     |    07/09/2026
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Provider Practice Location Address
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    Address Line         |    58A MARSHALL ST 
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    City                 |    SOMERVILLE
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    State                |    MA
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    Zip                  |    02145-3697
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    Country              |    US
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    Telephone            |    774-437-1978
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    58A MARSHALL ST 
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    City                 |    SOMERVILLE
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    State                |    MA
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    Zip                  |    02145-3697
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CAITLIN  ENTWISTLE EGAN 
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    Credential           |    LMHC
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    Telephone            |    774-437-1978
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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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