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General NPI Number Information
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NPI Number | 1083393896
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Entity Type | Organization
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Legal Business Name | LET IT BE THERAPY AND WELLNESS CENTER
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 15 N MAIN ST STE 217
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1957
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Country | US
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Telephone | 860-426-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 185 VILLAGE SQUARE DR APT 33
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City | NEW BRITAIN
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State | CT
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Zip | 06053-1236
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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 | LICENSED MARITAL & FAMILY THERAPIST
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Name | EVA TARNAWSKI
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Credential | MA
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Telephone | 860-426-4577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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