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General NPI Number Information
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NPI Number | 1265293120
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Entity Type | Organization
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Legal Business Name | BRIGHTER MIND THERAPY LLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 4 RESERVOIR RDG
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5549
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Country | US
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Telephone | 617-213-0429
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 WORCESTER RD # 1049
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5217
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Country | US
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Telephone | 617-213-0429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA LAWRENCE
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Credential | MSW, LICSW
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Telephone | 617-213-0429
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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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