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NPI 1306644216

NPI 1306644216 : RELIEVE BEHAVIORAL HEALTH AND WELLNESS LLC : VERNON, CT

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General NPI Number Information
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    NPI Number           |    1306644216
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIEVE BEHAVIORAL HEALTH AND WELLNESS LLC 
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Dates
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    Enumeration Date     |    03/05/2025
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    Last Update Date     |    03/05/2025
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Provider Practice Location Address
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    Address Line         |    281 HARTFORD TPKE STE 106 
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    City                 |    VERNON
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    State                |    CT
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    Zip                  |    06066-4760
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    Country              |    US
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    Telephone            |    860-836-2174
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    281 HARTFORD TPKE STE 106 
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    City                 |    VERNON
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    State                |    CT
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    Zip                  |    06066-4760
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    Country              |    US
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    Telephone            |    860-836-2174
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     FARHIYA A ABDI 
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    Credential           |    MSN-FNP
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    Telephone            |    860-836-2174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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