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General NPI Number Information
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NPI Number | 1003529744
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Entity Type | Organization
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Legal Business Name | PILLAR OF HOPE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 33 COURT ST STE 2
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2211
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Country | US
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Telephone | 203-808-3543
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Fax |
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Provider Business Mailing Address
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Address Line | 9 UNION SQ UNIT 1088
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City | SOUTHBURY
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State | CT
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Zip | 06488-2204
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Country | US
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Telephone | 203-808-3543
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. ROXANNA G. CEBALLOS
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Credential | LPC
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Telephone | 203-808-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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