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NPI 1023686052

NPI 1023686052 : CLEAR VIEW MARRIAGE AND FAMILY THERAPY, PLLC : WILLISTON PARK, NY

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General NPI Number Information
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    NPI Number           |    1023686052
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEAR VIEW MARRIAGE AND FAMILY THERAPY, PLLC 
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Dates
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    Enumeration Date     |    06/16/2021
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    101 HILLSIDE AVE STE D 
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    City                 |    WILLISTON PARK
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    State                |    NY
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    Zip                  |    11596-2310
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    Country              |    US
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    Telephone            |    347-829-4021
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3682 BAYVIEW ST 
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    City                 |    SEAFORD
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    State                |    NY
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    Zip                  |    11783-3344
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    Country              |    US
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    Telephone            |    347-260-7216
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MARRIAGE AND FAMILY THERAPIST
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    Name                 |     NIRVEETA DEVIKA CHARLES 
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    Credential           |    LMFT
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    Telephone            |    347-260-7216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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