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General NPI Number Information
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NPI Number | 1316545114
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Entity Type | Organization
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Legal Business Name | NEW RHODE COUNSELING LLC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 30 MARTIN ST # 3M
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City | CUMBERLAND
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State | RI
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Zip | 02864-5321
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Country | US
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Telephone | 401-743-1620
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Fax | 401-574-2003
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Provider Business Mailing Address
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Address Line | 175 EAST AVE
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City | HARRISVILLE
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State | RI
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Zip | 02830-1501
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Country | US
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Telephone | 401-743-1620
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Fax | 401-574-2003
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Authorized Official
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Title or Position | CLINICIAN
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Name | SHANNON L GARRISON
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Credential | LMHC
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Telephone | 401-743-1620
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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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