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General NPI Number Information
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NPI Number | 1508306358
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Entity Type | Organization
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Legal Business Name | MENDING SOULS COUNSELING, LLC
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 87 CHURCH ST STE 112
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3742
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Country | US
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Telephone | 860-952-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 87 CHURCH ST STE 112
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City | EAST HARTFORD
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State | CT
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Zip | 06108-3742
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Country | US
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Telephone | 860-952-4005
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Fax |
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | MRS. DONNA LYNN MAROTTO
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Credential | LMFT
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Telephone | 860-952-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001838
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License Number State | CT
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