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NPI 1841849619

NPI 1841849619 : ONE WORLD MENTAL HEALTH LLC : FRAMINGHAM, MA

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General NPI Number Information
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    NPI Number           |    1841849619
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    Entity Type          |    Organization 
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    Legal Business Name  |    ONE WORLD MENTAL HEALTH LLC 
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Dates
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    Enumeration Date     |    09/05/2019
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    61 LINCOLN ST STE 309 
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    City                 |    FRAMINGHAM
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    State                |    MA
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    Zip                  |    01702-8264
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    Country              |    US
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    Telephone            |    774-777-5114
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    Fax                  |    774-777-5114
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Provider Business Mailing Address
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    Address Line         |    61 LINCOLN ST STE 309 
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    City                 |    FRAMINGHAM
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    State                |    MA
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    Zip                  |    01702-8264
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    Country              |    US
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    Telephone            |    774-777-5114
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    Fax                  |    774-777-5114
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Authorized Official
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    Title or Position    |    LICENSED PSYCHOLOGIST
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    Name                 |    DR. MARY YOUNG SA 
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    Credential           |    PSY.D.
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    Telephone            |    774-777-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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