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General NPI Number Information
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NPI Number | 1710796743
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY TODAY, LLC.
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 510 TOLLAND ST
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City | EAST HARTFORD
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State | CT
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Zip | 06108-2523
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Country | US
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Telephone | 203-679-2249
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Fax | 860-374-2249
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Provider Business Mailing Address
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Address Line | 510 TOLLAND ST
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City | EAST HARTFORD
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State | CT
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Zip | 06108-2523
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Country | US
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Telephone | 203-679-2249
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Fax | 860-374-2249
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Authorized Official
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Title or Position | OWNER
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Name | JAZMIN JOHNSON
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Credential | APRN
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Telephone | 203-679-9274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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