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General NPI Number Information
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NPI Number | 1366794505
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Entity Type | Organization
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Legal Business Name | WEISE COUNSELING COLLABORATIVE, INC
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 160 LUDLOW ST
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City | BELCHERTOWN
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State | MA
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Zip | 01007-8807
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Country | US
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Telephone | 413-687-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 160 LUDLOW ST
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City | BELCHERTOWN
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State | MA
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Zip | 01007-8807
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Country | US
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Telephone | 413-687-9685
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PRESIDENT
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Name | MELISSA DOROTHY WEISE
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Credential | MSW, LICSW
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Telephone | 413-687-9685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116365
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License Number State | MA
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