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General NPI Number Information
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NPI Number | 1851255285
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Entity Type | Organization
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Legal Business Name | RIVER WYLDE COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 10901 REED HARTMAN HWY STE 319G
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City | BLUE ASH
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State | OH
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Zip | 45242-2866
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Country | US
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Telephone | 513-570-4036
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Fax |
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Provider Business Mailing Address
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Address Line | 10901 REED HARTMAN HWY STE 319G
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City | BLUE ASH
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State | OH
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Zip | 45242-2866
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | ALYSSA MARIE SCIVOLETTI
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Credential |
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Telephone | 516-306-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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