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General NPI Number Information
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NPI Number | 1912489626
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Entity Type | Organization
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Legal Business Name | PAWSITIVE THOUGHTS COUNSELING, LLC
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 68 HARTFORD TPKE
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City | TOLLAND
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State | CT
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Zip | 06084-2866
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Country | US
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Telephone | 860-830-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 24 LAKE WOOD LN
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City | ASHFORD
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State | CT
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Zip | 06278-1225
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Country | US
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Telephone | 860-830-0306
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SONIA MYSHRALL
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Credential | LADC
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Telephone | 860-830-0307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1141
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License Number State | CT
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