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General NPI Number Information
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NPI Number | 1144119777
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Entity Type | Individual
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Provider Name | BRIANA LAVIN LPCA
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 21 MONTAUK AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4906
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Country | US
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Telephone | 860-439-6400
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Fax | 860-390-1459
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Provider Business Mailing Address
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Address Line | 27 YARMOUTH DR
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City | WESTERLY
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State | RI
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Zip | 02891-3668
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Country | US
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Telephone | 973-945-0237
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7693
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License Number State | CT
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