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General NPI Number Information
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NPI Number | 1386354256
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Entity Type | Organization
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Legal Business Name | FAMILY TRANSITIONS PSYCHOTHERAPY
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | H3 SAINT MARC CIR
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-4137
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Country | US
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Telephone | 860-849-2898
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Fax |
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Provider Business Mailing Address
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Address Line | H3 SAINT MARC CIR
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-4137
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Country | US
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Telephone | 860-849-2898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARISOL ALVAREZ
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Credential | LMFT
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Telephone | 860-849-2898
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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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