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General NPI Number Information
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NPI Number | 1396689014
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Entity Type | Organization
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Legal Business Name | OPEN TO CHANGE WELLNESS LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 259 COLLIGNON WAY APT 3B
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City | RIVER VALE
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State | NJ
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Zip | 07675-6327
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Country | US
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Telephone | 551-275-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 259 COLLIGNON WAY APT 3B
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City | RIVER VALE
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State | NJ
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Zip | 07675-6327
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Country | US
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Telephone | 551-275-7623
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MR. STEVEN PAUL CASAMENTO
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Credential | LPC
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Telephone | 551-275-7623
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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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