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General NPI Number Information
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NPI Number | 1528330974
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Entity Type | Organization
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Legal Business Name | HORTICULTURE THERAPY FARM, LLC
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 374 E. LITCHFIELD RD.
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City | LITCHFIELD
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State | CT
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Zip | 06759-2901
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Country | US
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Telephone | 203-815-8267
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Fax | 203-298-4245
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 284
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City | LITCHFIELD
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State | CT
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Zip | 06759-0284
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Country | US
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Telephone | 203-815-8260
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Fax | 203-298-4245
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LISA RENEE FORD
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Credential | LADC, LPC, LMHC
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Telephone | 203-815-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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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 |
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