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General NPI Number Information
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NPI Number | 1083301675
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Entity Type | Organization
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Legal Business Name | HOLISTIC CARE MENTAL HEALTH ASSOCIATION LLC
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 425 UNION ST STE 42
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-3485
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Country | US
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Telephone | 413-930-4562
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Fax | 413-707-9931
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Provider Business Mailing Address
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Address Line | 221B WOLLASTON ST
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City | SPRINGFIELD
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State | MA
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Zip | 01119-1673
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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/PROVIDER
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Name | PAMELA JUMBA
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Credential | MSW
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Telephone | 413-306-8605
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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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