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General NPI Number Information
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NPI Number | 1922810449
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Entity Type | Organization
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Legal Business Name | GOLDEN HOUR MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 545 CONCORD AVE STE 14
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1170
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Country | US
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Telephone | 508-257-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 545 CONCORD AVE STE 14
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1170
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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 | FOUNDER
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Name | KRISTEN NORTHRUP KELLER
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Credential | MSW, LICSW
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Telephone | 508-257-1303
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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