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General NPI Number Information
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NPI Number | 1366240517
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Entity Type | Organization
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Legal Business Name | ANNA GRIES BODY MIND AND HEART THERAPY
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 21 GRANDVIEW TER
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City | RUTLAND
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State | VT
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Zip | 05701-3748
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Country | US
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Telephone | 631-766-7897
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Fax |
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Provider Business Mailing Address
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Address Line | 188 SHOPPING PLAZA RD # 276
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City | RUTLAND
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State | VT
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Zip | 05701-5205
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Country | US
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Telephone | 802-731-3164
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA REBECCA GRIES
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Credential | LPC, LCMHC
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Telephone | 631-766-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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