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General NPI Number Information
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NPI Number | 1215539218
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Entity Type | Organization
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Legal Business Name | LIFES A JOURNEY COUNSELING LLC
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 122 BUFFINGTON ST
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City | SWANSEA
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State | MA
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Zip | 02777-4810
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Country | US
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Telephone | 774-704-6681
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Fax | 508-617-8096
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Provider Business Mailing Address
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Address Line | 122 BUFFINGTON ST
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City | SWANSEA
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State | MA
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Zip | 02777-4810
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Country | US
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Telephone | 774-568-8855
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Fax | 508-617-8096
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | REBECCA NICOLE TANGUAY
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Credential | LICSW
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Telephone | 774-704-6681
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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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