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General NPI Number Information
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NPI Number | 1225577331
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Entity Type | Organization
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Legal Business Name | ADVANCED TREATMENT SOLUTIONS LLC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 270 FARMINGTON AVE STE 328
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City | FARMINGTON
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State | CT
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Zip | 06032-1909
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Country | US
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Telephone | 866-887-6864
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Fax | 866-887-6864
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Provider Business Mailing Address
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Address Line | PO BOX 270642
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City | WEST HARTFORD
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State | CT
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Zip | 06127-0642
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Country | US
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Telephone | 866-887-6864
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | MR. JIMMY PINTO MOUTINHO
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Credential | MS LPC LADC
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Telephone | 866-887-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2231
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 797
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 797
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License Number State | CT
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