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General NPI Number Information
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NPI Number | 1194392365
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Entity Type | Organization
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Legal Business Name | FIVE-FORTY WELLNESS OPTIONS, LLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 19 CYPRESS RD
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City | SEEKONK
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State | MA
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Zip | 02771-3607
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Country | US
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Telephone | 774-991-3559
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Fax | 401-216-6231
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Provider Business Mailing Address
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Address Line | PO BOX 363
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City | SEEKONK
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State | MA
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Zip | 02771-0363
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Country | US
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Telephone | 401-714-2891
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Fax | 401-216-6231
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER BROWN
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Credential | LMHC
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Telephone | 401-714-2891
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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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