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General NPI Number Information
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NPI Number | 1265223804
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Entity Type | Organization
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Legal Business Name | HEALTH WELL COUNSELING AND CONSULTATION, LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1 WASHINGTON MALL # 1232
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City | BOSTON
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State | MA
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Zip | 02108-2616
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Country | US
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Telephone | 617-545-7478
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WASHINGTON MALL # 1232
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City | BOSTON
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State | MA
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Zip | 02108-2616
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Country | US
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Telephone | 617-413-8311
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Fax | 617-314-8133
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Authorized Official
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Title or Position | OWNER
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Name | NADOLPHIA ANDOU
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Credential | LICSW
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Telephone | 617-545-7478
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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