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General NPI Number Information
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NPI Number | 1861345704
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Entity Type | Organization
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Legal Business Name | DOWN TO EARTH THERAPY LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 109 FRANK E RODGERS BLVD S
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City | HARRISON
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State | NJ
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Zip | 07029-2085
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Country | US
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Telephone | 929-352-2098
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Fax | 929-205-2621
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Provider Business Mailing Address
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Address Line | 111 TOWN SQUARE PL STE 1238
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1810
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Country | US
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Telephone | 929-352-2098
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Fax | 929-205-2621
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Authorized Official
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Title or Position | PSYCHOTHERAPIST / OWNER
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Name | SURRAINE BASCOME
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Credential | LCSW
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Telephone | 929-352-2098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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