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NPI 1598576969

NPI 1598576969 : HIGHER SELF THERAPY PLLC : NEWTON, MA

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General NPI Number Information
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    NPI Number           |    1598576969
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGHER SELF THERAPY PLLC 
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Dates
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    Enumeration Date     |    01/15/2025
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    Last Update Date     |    02/19/2026
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Provider Practice Location Address
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    Address Line         |    10 LANGLEY RD STE 200 
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    City                 |    NEWTON
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    State                |    MA
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    Zip                  |    02459-1972
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    Country              |    US
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    Telephone            |    617-465-3020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    800 LEXINGTON ST # 1017 
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    City                 |    WALTHAM
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    State                |    MA
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    Zip                  |    02452-4848
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    Country              |    US
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    Telephone            |    617-465-3020
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHALANDA  DUPERRIER 
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    Credential           |    LMHC
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    Telephone            |    617-465-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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