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General NPI Number Information
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NPI Number | 1457255507
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Entity Type | Organization
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Legal Business Name | THERAPY WITH GRACE LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 57 PLAINS RD
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City | MILFORD
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State | CT
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Zip | 06461-2573
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Country | US
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Telephone | 203-701-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 2389 MAIN ST STE 100
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City | GLASTONBURY
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State | CT
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Zip | 06033-4617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIE-GRACE KANZLER
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Credential | LPC
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Telephone | 203-701-8440
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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 | NULL
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