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NPI 1598099533

NPI 1598099533 : INSIGHTS, A WELLNESS CENTER, LLC : MONROE, CT

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General NPI Number Information
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    NPI Number           |    1598099533
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSIGHTS, A WELLNESS CENTER, LLC 
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Dates
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    Enumeration Date     |    09/23/2009
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    Last Update Date     |    05/09/2016
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Provider Practice Location Address
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    Address Line         |    388 MAIN STREET SUITE 1B
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    City                 |    MONROE
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    State                |    CT
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    Zip                  |    06468
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    Country              |    US
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    Telephone            |    203-260-9353
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    Fax                  |    203-445-1624
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Provider Business Mailing Address
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    Address Line         |    35 HERITAGE ROAD 
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    City                 |    MONROE
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    State                |    CT
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    Zip                  |    06468
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    Country              |    US
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    Telephone            |    203-260-9353
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    Fax                  |    203-445-1624
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MS. CHRISTINE ANN GUERRERA 
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    Credential           |    LMFT
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    Telephone            |    203-260-9353
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    CT
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