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General NPI Number Information
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NPI Number | 1609157890
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Entity Type | Organization
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Legal Business Name | POSITIVE OUTLOOKS: THERAPEUTIC CONNECTIONS, LLC
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 420 HIGHLAND AVE BLDG B. STE B1
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City | CHESHIRE
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State | CT
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Zip | 06410-2527
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Country | US
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Telephone | 203-931-5566
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Fax | 888-531-8142
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Provider Business Mailing Address
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Address Line | 420 HIGHLAND AVE BLDG B. STE B1
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City | CHESHIRE
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State | CT
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Zip | 06410-2527
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Country | US
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Telephone | 203-931-5566
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Fax | 888-531-8142
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MRS. ANNE SANSOLO
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Credential | LPC
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Telephone | 203-931-5566
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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 | 001805
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License Number State | CT
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