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NPI 1649644196

NPI 1649644196 : PERSPECTIVES CENTER FOR CARE, INC. : CHESHIRE, CT

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General NPI Number Information
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    NPI Number           |    1649644196
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    Entity Type          |    Organization 
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    Legal Business Name  |    PERSPECTIVES CENTER FOR CARE, INC. 
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Dates
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    Enumeration Date     |    11/20/2015
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    Last Update Date     |    11/20/2015
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Provider Practice Location Address
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    Address Line         |    70 CRANBERRY LN 
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    City                 |    CHESHIRE
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    State                |    CT
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    Zip                  |    06410-3503
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    Country              |    US
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    Telephone            |    860-276-3000
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    Fax                  |    860-276-3002
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Provider Business Mailing Address
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    Address Line         |    70 CRANBERRY LN 
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    City                 |    CHESHIRE
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    State                |    CT
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    Zip                  |    06410-3503
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    Country              |    US
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    Telephone            |    860-276-3000
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    Fax                  |    860-276-3002
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     TIMOTHY  KORTE 
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    Credential           |    
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    Telephone            |    860-276-3000
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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       |    343
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2096
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    License Number State |    CT
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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       |    2517
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    License Number State |    CT
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    7379
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    License Number State |    CT
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Taxonomy #5
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    5898
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    License Number State |    CT
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Taxonomy #6
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    1612
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    License Number State |    CT
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Taxonomy #7
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    42079
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    License Number State |    CT
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Taxonomy #8
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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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Taxonomy #9
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    800
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    License Number State |    CT
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Taxonomy #10
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    1136
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    License Number State |    CT
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Taxonomy #11
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    1085
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    License Number State |    CT
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