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General NPI Number Information
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NPI Number | 1275398612
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Entity Type | Organization
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Legal Business Name | OPEN MIND COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 36 N BEDFORD ST
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City | E BRIDGEWATER
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State | MA
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Zip | 02333-1186
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Country | US
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Telephone | 617-299-0403
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1828
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City | ONSET
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State | MA
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Zip | 02558-1828
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Country | US
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Telephone | 504-296-2579
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | BRIDGET ROSE LEHANE
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Credential | LMHC
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Telephone | 504-296-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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