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General NPI Number Information
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NPI Number | 1952054546
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Entity Type | Organization
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Legal Business Name | ONYX COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 488 BOSTON POST RD E
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City | MARLBOROUGH
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State | MA
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Zip | 01752-3608
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Country | US
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Telephone | 617-249-3577
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Fax | 617-812-1702
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Provider Business Mailing Address
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Address Line | 11 APEX DR STE 300A
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1977
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Country | US
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Telephone | 617-249-3577
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Fax | 617-812-1702
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Authorized Official
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Title or Position | MANAGER
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Name | MICHAEL MANCHESTER-MILES
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Credential |
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Telephone | 617-249-3577
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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