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General NPI Number Information
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NPI Number | 1013544808
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Entity Type | Organization
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Legal Business Name | COMPASS MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 3117 MILITARY RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-4813
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Country | US
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Telephone | 716-341-9258
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1633
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City | NIAGARA UNIVERSITY
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State | NY
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Zip | 14109-1633
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Country | US
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Telephone | 716-341-9258
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MELODY A MILLER
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Credential | LMHC
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Telephone | 716-524-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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