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General NPI Number Information
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NPI Number | 1326127366
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Entity Type | Organization
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Legal Business Name | THE ADAMS CENTER FOR MIND & BODY LLC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1233 SHELBURNE RD STE D2 PIERSON HOUSE D2
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7753
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Country | US
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Telephone | 802-859-1577
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Fax | 802-859-1571
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Provider Business Mailing Address
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Address Line | 1233 SHELBURNE RD STE D2 PIERSON HOUSE D2
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7753
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Country | US
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Telephone | 802-859-1577
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Fax | 802-859-1571
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | SUZANNE ADAMS
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Credential |
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Telephone | 802-859-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 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 #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0470000633
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License Number State | VT
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