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General NPI Number Information
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NPI Number | 1467752576
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Entity Type | Individual
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Provider Name | SARAH SHUBE LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 116 NORMANDY RD
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City | LONGMEADOW
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State | MA
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Zip | 01106-1229
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Country | US
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Telephone | 413-686-0031
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Fax |
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Provider Business Mailing Address
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Address Line | 167 DWIGHT RD STE 104
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City | LONGMEADOW
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State | MA
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Zip | 01106-1769
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Country | US
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Telephone | 413-686-0031
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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 | 7590
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License Number State | MA
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