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General NPI Number Information
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NPI Number | 1861274896
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Entity Type | Organization
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Legal Business Name | RIVERVIEW PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 8 PLEASANT ST BUILDING D, 2ND FLOOR
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City | NATICK
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State | MA
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Zip | 01760-5622
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Country | US
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Telephone | 508-202-0989
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PLEASANT ST BUILDING D, 2ND FLOOR
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City | NATICK
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State | MA
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Zip | 01760-5622
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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 | OWNER
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Name | ALLIE STEFANELLI
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Credential | LICSW, LCSW
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Telephone | 443-783-1569
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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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