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General NPI Number Information
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NPI Number | 1780181297
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Entity Type | Organization
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Legal Business Name | GROUNDINGHEARTS, INC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 112 WATER ST STE 203
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City | BOSTON
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State | MA
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Zip | 02109-4225
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Country | US
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Telephone | 857-600-2449
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Fax | 857-999-3903
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Provider Business Mailing Address
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Address Line | 112 WATER ST STE 203
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City | BOSTON
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State | MA
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Zip | 02109-4225
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Country | US
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Telephone | 857-600-2449
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Fax | 857-999-3903
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Authorized Official
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Title or Position | OPERATOR
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Name | VIERGELYN CHERY-REED
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Credential | MA, LMHC
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Telephone | 857-600-2449
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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 | MA
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