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General NPI Number Information
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NPI Number | 1003277823
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Entity Type | Organization
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Legal Business Name | KUUMBA HEALTH LLC
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 41 SCHERMERHORN ST STE 136
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City | BROOKLYN
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State | NY
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Zip | 11201-4802
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Country | US
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Telephone | 929-277-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 41 SCHERMERHORN ST STE 136
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City | BROOKLYN
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State | NY
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Zip | 11201-4802
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Country | US
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Telephone | 929-277-2550
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Fax |
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Authorized Official
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Title or Position | CEO/BUSINESS MANAGER
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Name | MS. SACRED WALKER
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Credential | MDIV RDT
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Telephone | 929-277-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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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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Taxonomy #9
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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 #10
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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