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General NPI Number Information
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NPI Number | 1407566029
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Entity Type | Individual
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Provider Name | MISS KELLY MORRISSEY
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 94 N ELM ST STE 206
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City | WESTFIELD
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State | MA
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Zip | 01085-1641
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Country | US
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Telephone | 413-437-9294
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CLINTON ST
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City | EASTHAMPTON
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State | MA
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Zip | 01027-1506
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Country | US
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Telephone | 603-288-2207
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LMHC10005288
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License Number State | MA
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