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General NPI Number Information
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NPI Number | 1750015160
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Entity Type | Organization
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Legal Business Name | EMOTIONAL WEALTH LLC
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 515 MOUNT PROSPECT AVE
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City | NEWARK
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State | NJ
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Zip | 07104
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Country | US
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Telephone | 732-305-0335
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 US HIGHWAY 1 STE 34 #1140
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 732-305-0335
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. TATYANA O SHIELDS
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Credential | LCSW
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Telephone | 732-305-0335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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