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General NPI Number Information
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NPI Number | 1205799087
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Entity Type | Organization
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Legal Business Name | TWO LANTERNS THERAPY PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7 WHITTIER PL STE 108
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City | BOSTON
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State | MA
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Zip | 02114-1408
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Country | US
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Telephone | 781-710-8834
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WHITTIER PL STE 108
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City | BOSTON
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State | MA
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Zip | 02114-1408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOIRA MACDONALD
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Credential |
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Telephone | 781-710-8834
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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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