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General NPI Number Information
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NPI Number | 1063327047
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Entity Type | Organization
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Legal Business Name | ENGINES OF CHANGE
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 174 WEST ST
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City | LITCHFIELD
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State | CT
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Zip | 06759-3434
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Country | US
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Telephone | 860-375-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 15 S MAIN ST
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City | TORRINGTON
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State | CT
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Zip | 06790-6430
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Country | US
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Telephone | 860-375-4211
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MYNTOY STEWART
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Credential |
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Telephone | 860-375-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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