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General NPI Number Information
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NPI Number | 1023903606
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Entity Type | Organization
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Legal Business Name | SUNSHINE WITHIN MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 175 ORINOCO DR
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City | BRIGHTWATERS
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State | NY
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Zip | 11718-1323
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Country | US
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Telephone | 631-450-2638
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Fax |
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Provider Business Mailing Address
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Address Line | 286 LOWELL RD
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City | SAYVILLE
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State | NY
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Zip | 11782-2219
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Country | US
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Telephone | 631-834-4426
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Fax |
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Authorized Official
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Title or Position | LMHC-D
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Name | LARISSA ROSA
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Credential | M.S., LMHC-D
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Telephone | 631-834-4426
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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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