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General NPI Number Information
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NPI Number | 1689869406
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Entity Type | Organization
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Legal Business Name | THE MILLYARD HEALTH COLLABORATIVE, INC.
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 26 MILLYARD SUITE 7
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City | AMESBURY
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State | MA
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Zip | 01913-2429
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Country | US
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Telephone | 603-767-7144
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CUMMINGS CTR STE 207P
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City | BEVERLY
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State | MA
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Zip | 01915-6104
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Country | US
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Telephone | 603-767-7144
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Fax | 978-388-3342
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Authorized Official
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Title or Position | CEO, ADMINISTRATOR
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Name | MS. PATRICIA J STEWART
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Credential | LMHC
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Telephone | 978-388-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5980
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License Number State | MA
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