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General NPI Number Information
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NPI Number | 1346747144
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Entity Type | Organization
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Legal Business Name | IN SIGHT HEALING AND COUNSELING LLC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 350 BEDFORD ST STE 1
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City | LAKEVILLE
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State | MA
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Zip | 02347-2128
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Country | US
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Telephone | 601-255-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 45 PICKENS ST
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City | LAKEVILLE
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State | MA
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Zip | 02347-1903
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Country | US
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Telephone | 774-263-1655
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | BRYANNE EVELYN MCMANN
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Credential | LICSW
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Telephone | 774-263-1655
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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 | 120818
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License Number State | MA
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