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General NPI Number Information
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NPI Number | 1851254973
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Entity Type | Organization
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Legal Business Name | JULIA GOTTLIEB
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 151 FRONT STREET
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City | HOUSATONIC
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State | MA
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Zip | 01236
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Country | US
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Telephone | 413-274-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 140 WEST AVENUE. SUITE A
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230
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Country | US
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Telephone | 413-645-3300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA M GOTTLIEB
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Credential | LMHC
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Telephone | 917-862-9584
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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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