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General NPI Number Information
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NPI Number | 1245193135
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Entity Type | Organization
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Legal Business Name | AT HOME WITHIN COUNSELING LLC
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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 | 19 HALLS RD STE 213
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City | OLD LYME
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State | CT
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Zip | 06371-1457
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Country | US
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Telephone | 860-415-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 8 MAYFIELD TER
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City | EAST LYME
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State | CT
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Zip | 06333-1326
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Country | US
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Telephone | 860-961-8892
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | KIMBERLY ANNE WOOD
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Credential |
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Telephone | 860-961-8892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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