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General NPI Number Information
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NPI Number | 1457279515
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Entity Type | Organization
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Legal Business Name | PRISM WELLNESS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 17 CONANT ST UNIT 22
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City | DANVERS
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State | MA
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Zip | 01923-7000
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Country | US
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Telephone | 978-219-7179
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CONANT ST UNIT 22
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City | DANVERS
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State | MA
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Zip | 01923-7000
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Country | US
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Telephone | 978-219-7179
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Fax |
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Authorized Official
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Title or Position | LMHC
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Name | MRS. TARA JOY GUANCI
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Credential | LMHC
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Telephone | 978-219-7179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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