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General NPI Number Information
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NPI Number | 1396473591
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Entity Type | Organization
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Legal Business Name | ELEPHANT IN THE ROOM COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 4 LINCOLN ST
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City | MEDWAY
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State | MA
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Zip | 02053-1623
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Country | US
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Telephone | 603-566-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 99 MARSH RD
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City | PELHAM
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State | NH
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Zip | 03076-3352
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Country | US
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Telephone | 603-566-6254
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH CLINICIAN
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Name | BRITTNEY RAE SIX
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Credential | LMHC
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Telephone | 603-566-6254
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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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