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General NPI Number Information
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NPI Number | 1558161265
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Entity Type | Organization
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Legal Business Name | MINDBODY HEALING INSTITUTE
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 85 CORNWALL DR
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City | WATERTOWN
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State | CT
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Zip | 06795-3007
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Country | US
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Telephone | 860-351-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 85 CORNWALL DR
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City | WATERTOWN
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State | CT
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Zip | 06795-3007
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Country | US
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Telephone | 860-351-3416
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KELLY A CLARKE
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Credential | LCSW
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Telephone | 860-351-3416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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