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General NPI Number Information
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NPI Number | 1134311160
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 46 W AVON RD SUITE 202
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City | AVON
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State | CT
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Zip | 06001-3679
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Country | US
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Telephone | 860-485-4245
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Fax |
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Provider Business Mailing Address
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Address Line | 308 HIGHFIELD DR
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City | TORRINGTON
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State | CT
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Zip | 06790-5827
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Country | US
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Telephone | 860-485-4245
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | DIANE TOBIN
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Credential | MA, NCC, LPC
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Telephone | 860-485-4245
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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 | 001509
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001509
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License Number State | CT
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