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General NPI Number Information
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NPI Number | 1083302889
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Entity Type | Organization
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Legal Business Name | AHIMSA PSYCHOTHERAPY
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 154 WATERMAN ST STE 16
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City | PROVIDENCE
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State | RI
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Zip | 02906-3116
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Country | US
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Telephone | 303-478-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 154 WATERMAN ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-3116
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Country | US
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Telephone | 303-478-8410
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Fax |
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Authorized Official
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Title or Position | THERAPIST / OWNER
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Name | PAUL-ANDRE RICHARD
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Credential | MA,MA,M.ED,LPC,LMHC
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Telephone | 303-478-8410
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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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