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General NPI Number Information
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NPI Number | 1518858646
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Entity Type | Organization
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Legal Business Name | AFTERCARE THERAPY COLLECTIVE
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 612 SOUTH WILLOW AVE APT N88
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City | COOKEVILLE
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State | TN
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Zip | 38501
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Country | US
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Telephone | 629-888-2952
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Fax |
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Provider Business Mailing Address
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Address Line | 514 S WILLOW AVE # 1015
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City | COOKEVILLE
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State | TN
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Zip | 38501-3727
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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 | MATTHEW LONSKI
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Credential | MS ED., LCPC, LPCMHS
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Telephone | 629-888-2952
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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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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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