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General NPI Number Information
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NPI Number | 1205773363
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Entity Type | Organization
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Legal Business Name | SALTWATER PATH COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 100 FORT HILL RD STE 3B
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City | GROTON
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State | CT
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Zip | 06340-4312
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Country | US
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Telephone | 860-431-2139
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Fax | 860-751-0349
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Provider Business Mailing Address
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Address Line | 282 NOANK LEDYARD RD
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City | MYSTIC
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State | CT
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Zip | 06355-1526
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Country | US
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Telephone | 401-924-1052
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Fax | 860-751-0349
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANNA REELS
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Credential | LCSW
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Telephone | 401-924-1052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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