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General NPI Number Information
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NPI Number | 1942169214
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Entity Type | Organization
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Legal Business Name | POLESTAR THERAPY, LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 34 MAIN ST STE 5
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City | AMHERST
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State | MA
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Zip | 01002-2356
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Country | US
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Telephone | 413-461-0671
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Fax |
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Provider Business Mailing Address
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Address Line | 34 MAIN ST STE 5
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City | AMHERST
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State | MA
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Zip | 01002-2356
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Country | US
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Telephone | 413-461-0671
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. JAMIE D DANIELS
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Credential | PH.D., LICSW, MSW
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Telephone | 413-461-0671
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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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