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General NPI Number Information
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NPI Number | 1780529644
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Entity Type | Organization
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Legal Business Name | SIMPLY HEALING
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 15 CHESTERFIELD RD STE 211
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City | EAST LYME
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State | CT
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Zip | 06333-1736
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Country | US
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Telephone | 860-912-7251
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Fax |
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Provider Business Mailing Address
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Address Line | 551 BOSTON POST RD
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City | WATERFORD
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State | CT
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Zip | 06385-1132
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Country | US
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Telephone | 860-912-7251
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CAITLIN BLACKBURN
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Credential | LCSW
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Telephone | 860-912-7251
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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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