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NPI 1871803627

NPI 1871803627 : MINDSET MENTAL HEALTH, LLC : WILMINGTON, MA

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General NPI Number Information
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    NPI Number           |    1871803627
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    Entity Type          |    Organization 
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    Legal Business Name  |    MINDSET MENTAL HEALTH, LLC 
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Dates
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    Enumeration Date     |    10/14/2010
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    16 KENWOOD AVE 
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    City                 |    WILMINGTON
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    State                |    MA
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    Zip                  |    01887-3012
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    Country              |    US
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    Telephone            |    781-392-4429
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 KENWOOD AVE 
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    City                 |    WILMINGTON
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    State                |    MA
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    Zip                  |    01887-3012
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    Country              |    US
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    Telephone            |    781-392-4429
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. RACHEL  GRIECO 
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    Credential           |    
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    Telephone            |    781-392-4429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    8572
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    License Number State |    MA
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