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General NPI Number Information
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NPI Number | 1265198576
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Entity Type | Organization
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Legal Business Name | LANGUAGE OF THE HEART PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 284 RACEBROOK RD
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City | ORANGE
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State | CT
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Zip | 06477-3103
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Country | US
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Telephone | 203-218-9969
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Fax |
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Provider Business Mailing Address
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Address Line | 348 BEECHMONT AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06606-3703
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Country | US
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Telephone | 203-218-9969
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | DR. MARIA EELENA OLIVA
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Credential | PH.D., MSW, LCSW
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Telephone | 203-218-9969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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