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General NPI Number Information
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NPI Number | 1457172611
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Entity Type | Organization
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Legal Business Name | INFUSED WITH LOVE THERAPY LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 100 CENTERVILLE RD STE 4
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City | WARWICK
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State | RI
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Zip | 02886-6914
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Country | US
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Telephone | 401-593-2475
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LOVE LN
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City | WARWICK
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State | RI
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Zip | 02886-8525
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Country | US
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Telephone | 401-593-2475
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALYEA KEAN
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Credential |
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Telephone | 401-593-2475
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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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