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General NPI Number Information
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NPI Number | 1861023798
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Entity Type | Individual
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Provider Name | ASHANTI REGINA BOSTON LMHC, LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1945 OLD GALLOWS RD STE 515
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City | VIENNA
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State | VA
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Zip | 22182-3931
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Country | US
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Telephone | 571-568-8794
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Fax |
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Provider Business Mailing Address
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Address Line | 1945 OLD GALLOWS RD STE 515
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City | VIENNA
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State | VA
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Zip | 22182-3931
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Country | US
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Telephone | 347-605-4382
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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 | 011811
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License Number State | NY
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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 | LC15988
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701013573
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License Number State | VA
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