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General NPI Number Information
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NPI Number | 1053258426
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Entity Type | Organization
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Legal Business Name | WATERVIEW COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 05/02/2026
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Last Update Date | 05/02/2026
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Provider Practice Location Address
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Address Line | 27 SIEMON COMPANY DR STE 121W
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City | WATERTOWN
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State | CT
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Zip | 06795-2678
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Country | US
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Telephone | 860-483-0360
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Fax | 860-516-4508
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Provider Business Mailing Address
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Address Line | 27 SIEMON COMPANY DR STE 121W
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City | WATERTOWN
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State | CT
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Zip | 06795-2678
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Country | US
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Telephone | 860-483-0360
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Fax | 860-516-4508
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Authorized Official
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Title or Position | FOUNDER/THERAPIST
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Name | STACY HANKEY MANGINI
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Credential | LCSW, DSW
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Telephone | 203-217-6358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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