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General NPI Number Information
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NPI Number | 1811668296
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Entity Type | Individual
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Provider Name | SATHYA ISABEL RAGHAVAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 840 HARRISON AVE
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City | BOSTON
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State | MA
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Zip | 02118-2905
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Country | US
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Telephone | 617-356-9634
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Fax | 617-414-7398
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Provider Business Mailing Address
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Address Line | 10 OVERLOOK RIDGE DR UNIT 225
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City | MALDEN
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State | MA
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Zip | 02148-4720
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Country | US
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Telephone | 832-506-6269
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LMHC10005473
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License Number State | MA
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