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General NPI Number Information
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NPI Number | 1760324925
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Entity Type | Organization
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Legal Business Name | MARIGOLD MENTAL HEALTH COUNSELING, LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 295 MAIN ST
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City | TILTON
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State | NH
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Zip | 03276-5115
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Country | US
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Telephone | 603-238-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 75 MAIN ST STE 4
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City | PLYMOUTH
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State | NH
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Zip | 03264-1565
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DEIDRE ELLYN RIDEOUT
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Credential | LCMHC
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Telephone | 603-238-7898
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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 |
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License Number State |
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