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General NPI Number Information
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NPI Number | 1205329729
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Entity Type | Organization
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Legal Business Name | NEW CHAPTER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/09/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 2475 ALBANY AVE STE 203B
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City | WEST HARTFORD
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State | CT
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Zip | 06117
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Country | US
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Telephone | 860-989-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 15 APRIL WAY
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City | BLOOMFIELD
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State | CT
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Zip | 06002-2805
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Country | US
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Telephone | 860-989-5331
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SAMANTHA SMALLS
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Credential | LCSW
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Telephone | 860-375-5749
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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 | 7787
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License Number State | CT
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