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NPI 1134074669

NPI 1134074669 : BEHIND THE LATEST MINDS : WEST WARWICK, RI

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General NPI Number Information
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    NPI Number           |    1134074669
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEHIND THE LATEST MINDS 
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Dates
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    Enumeration Date     |    03/02/2026
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    6 LANPHEAR ST 
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    City                 |    WEST WARWICK
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    State                |    RI
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    Zip                  |    02893-5636
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    Country              |    US
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    Telephone            |    508-974-9472
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 LANPHEAR ST 
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    City                 |    WEST WARWICK
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    State                |    RI
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    Zip                  |    02893-5636
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    Country              |    US
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    Telephone            |    508-974-9472
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED THERAPIST & PRACTICE OWNER
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    Name                 |     MAYA A WILLIAMS-BOND-JACKSON 
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    Credential           |    LMHC
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    Telephone            |    508-974-7472
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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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