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General NPI Number Information
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NPI Number | 1841011772
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Entity Type | Organization
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Legal Business Name | LOVE WELLNESS LLC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 7 SMITH AVE STE 105
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City | GREENVILLE
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State | RI
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Zip | 02828-1771
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Country | US
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Telephone | 401-648-5973
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SMITH AVE STE 105
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City | GREENVILLE
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State | RI
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Zip | 02828-1771
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Country | US
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Telephone | 401-648-5973
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Fax |
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | MS. AMY A FERREIRA
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Credential | LICSW
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Telephone | 401-648-5973
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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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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