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General NPI Number Information
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NPI Number | 1134911795
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Entity Type | Organization
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Legal Business Name | BLOOMING MINDS COUNSELING LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 19 COTTAGE ST
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1624
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Country | US
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Telephone | 603-707-1936
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Fax |
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Provider Business Mailing Address
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Address Line | 19 COTTAGE ST
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1624
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Country | US
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Telephone | 603-707-1936
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRIMARY THERAPIST
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Name | EMILY ROBINSON
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Credential | LICSW
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Telephone | 603-707-1936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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